HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 694 W 4TH AVE
CITY OF OSHKOSH
No
127688
HV AC PERMIT - APPLICATION AND RECORD
Owner JON S LOR
Create Date 11/0612007
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Contractor WESLEY HEATING & COOLING INC Category ~CL:B.f:i~c!~ti~!:t1eating_~_\l~r1tlLaJ~_g___ Plan_ _..____________._
Fuel ~ Gas --.J U_QlL...___~J U Ele~tri~_--l D~S~~.~=-~-.J D-So@===~=!
System 0 New~_J 0_BE3Pl(l.c~_______ ___ J C Other
lti Forced Air I U Ra~~~=] U Steam _~.J D!-?~_~~~-=:=J DS7~nL_:~:~]
Wlectric IT Hot ~ate!..-l IT~iI~=-~.:=J ITCon:-~\.I!ner-l
Chimney Type ITChimney A DC~s-m-=~=. Direct Vent --o~icable =:J
Heat Loss ~pproved~----=- Existing 0 Not Applicable ~ Value ____
BTU Rate (LAs Per Plan --0 Variable . Other I Value 50,OqQ
Use/Nature SFR / REPLACE EXISTING FURNACE AND MAKE DUCTWORK REVISIONS, EIV SIGNED BY KOLLMAN-REiLLEY ELECTRIC **checkl
of Work 93247 I
I
I
Fees: Valuation $3,638.00
Issued By: 8rn6- .
Plan Approval
$0.00
Permit Fee Paid _________!~5:_~Q
Date 11/06/2007
o._~~r:.mit V()_i_d~_d.J
Parcel Id # 0603990000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
v~~ ~~,,~)
RECEIVED
City ofOihkosh
Division of Inspection Services
r.o. Box: 1130
<>Shkosh.\V154903-1130
Pho~ (920) D6-SOS0
Fax (920) 236-SOS4
NOV 06 Z007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~
~QlR
HVAC PERMIT APPLICATION
All tafonnation after bole! categories must be provided.
Incomplete applications will nOt he pmcessed.
. Application(s) and fee(s) am be brought to City Half, Room 20.$ or mailed to Inspection Services, PO Box 1128,
. Oshkosh WI 54903-1128. Commencing work without pennit(s}will result in fees being doubled orSIOO.OO plus the
nonnal permit fee, which ever is greater.
OR
if 1I0U tirf! Q cenfrtlclOr l1t1rlicil1utilJ~ in the Perl1l.iI feft ACUJlml Sy.stem and hU'Pl!: adequate (finds. ched here
if vou want thi:s DrO&~li$eJ tllroullh your OCCOnJ'l1 n
DATE \D -~-01
JOB ADDRESS \.1t\~ \,S::) ,-\"\b ~
OWNER~~~ '-~~
CONTRACfOR \ ,,>. >>l\ ~ .~....~ ~ \' ~
CHECK ItI ALL A.PPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti.Family
DRental
OCommercial
Dlndusmal
FUEL
~as
OOil
OEfeetrie DSolid
OSolar
SYSTEM
ONew
DOHler
JIllteplau
TYPE
~orced Air ORadiant DSteam ONC o Vent OElectric OHot Water OSuppl. aeon. Burner
IS CHIMNEY BEING LINED ONokves - LINER SiZE &- MANUfACTURER
Note: All chimneys shall be simt per the 8W's being vented.
CHIMNEY TYPE OCbimney A DChimney B mOirecl Venl OOlber
REA T LOSS DAs Approved JQE.'tisting dNat Applicable
RTORATEOAsPerPJan DVarillhte ~therValue~ ~
DESCIUPT'ONOF ALL WORK BEING DONE~.'P~':;' ~~~ . ~
--b'<q,. .....-n.c-. ~ - ~ ~ ~ - ---- ~--- "-'- ~
VALUE'lndudinglnlur and ftlateri." i) ~
ELECfRrCAL CONTRACTOR
C For applicable projects, an Electric Installation Verification form, si y the Electrical Contractor, must be
3ttliched. I r not attached or not applicable.. a separate Eleclrical Pennit is required.
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OCT -eq-aB7 as: 14 FRl:J't: IoES1..EV I-EA'TING
(928) 2)5-6951
TO: 1~37965
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NOV 06 Z007
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