HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1026 N MAIN ST
CITY OF OSHKOSH
No
127689
HV AC PERMIT - APPLICATION AND RECORD
Owner DARLA J ANDERSON
Create Date 11/06/2007
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential-Heating & Ventilating___ Plan
Fuel ~s U Oil I Electr~ I J Solar I LJ Solid I
System 0 New_J RJ Rep~_~_~ O__.9J~~L__
~~~~~ [IRadiant ~ U Steam I U~~~~ D__\I_~__
~ctric U Hot Water I [fSUppl. ~ USon. B~..r!ler 1
Chimney Type D,~hil11.!1ey A~___Q C~im~ey B ___~_..Pir~~CfY~Il!===- _0 f\Jot_i\PEfica=~I~ -:=:J
Heat Loss D_~~~C==--=-~~-==:='~=:==:D~~~f~p]~~~I~==== J Value --------
BTU Rate ITAs Per Plan .--O~riable-===-=-===-==:..=9lher=:===-===== '] Value,,______"______~Q,990
Use/Nature ISFR / REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMAN-RElLLEY'ET.ECTRTC**checia93'24Y---
of Work!
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Fees: Valuation $2,429.00
Issued By: ~D
Plan Approval
$0.00
Permit Fee Paid $47.50
----.-------
Date 11 f06f2007
D_permit V.9,~ded I
Parcelld # 1001450000
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
AgentfOwner
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.
~ .s:-,-~ "-\. \ . ~
RECEIVED
City of Oshkosh
Division oflnspecdon services
P.O.DQX IUO
Qshkosb.WIS4903-1130
Phone (920) 236-50S0
fu (920) 236-5034
NOV 0 6 Z007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~
~DLH
HVAC PERMIT APPLICATION
All information after bold categories must be provided,
fncompleteapplicatiom wilt not be proeessed.
. Appliauion(s) and fee(s) can be brought to City HaU. R.oom 20S or mailed to Inspection Services. PO Box 1128.
Oshkosh WI 54903.1128. Commencing work without permit(~ wilt result in fees being doubled or $'00.00 plus me
nonnal pennft fee, which ever is greater.
OR
If !IOU un! 4 c6lftrtIC(flr oarticioalinrt ill Ib~ Permit fee Ar:r:(J'!nl System and htlPe adel}tlQle (finds. ~beck here
if vo.. word this ororf!s$ftJ thro1l1l.h ""lfF Decou,,! n
DATE \ \. . \ - ~""\
JOBADDRESS \C).&o N. ~'!o ~ ~':>
OWNER~"-~ ~~~~ ~
CONTRAC1'OJl\,~, ~~ .~_"n.~ ~~~
CHECK if ALL APPLICABLE
,
USE CATEGORY
llSingle Family ODuplex OMuhi-Family
ORental
OCommercial
Dlndustrial
FUEL
Itoas
DOn
OElectric DSolid
aSo(ae
SYSTEM
ONew
OOlller
l(Replaee
TVPE
JlFo~ Air [JRadiam OSteam DAlC OVent OElectric
IS CHIMNEY BEING LINED MHo ayes - LINER SIZE
Note: All cbimrteys shalt be siud pe;lte BTU's being venled.
CHIMNEY TYPE OChimney A OChimney B 1't00rect Vent OOther
REA T LOSS OAs Approved lfE.:\:isting DNot Applicable
BTO RATE DAs Per PlaD O\7arlable IiflJther Value ~ ~
~ESCRIPTION OF ALL WOBKB&lNG OONE~~""''''' . < .. -"e ~ ~
~ ~_ .--~~ (:1.:::> . __ _ __
OHot Water OSuppl. aeon. Burner
&. MANUfACTURER
VALUE 'Induding lab,r and ptateri.,'.J ~ .CJ::J
ELECTRrCAL CONTRACTOR
C For applicable projects, an Electric Installation Verjfication form. sign the Electrical Contractor. must be
attat.hed. It Rot attached or nol applicable, a separate Electrical Permit is reqUired.
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NOV 06 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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