HomeMy WebLinkAbout0128013-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 931 JEFFERSON ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
128013
Owner WilLIAM E KLlSS
Create Date 12/03/2007
Contractor
Heat loss
"Value______._____
~alue
'-11'---'----
Use/Nature rs-FR / REPLACE EXISTING FURNACE, EIV STGi'fEDY BYKblIMAN:REf[LEYElECfRTC*.checkt~:f3425---- . .-
of Work!
i
WESLEY HEATING & COOLlNG,INC __ Category !5_0.9_=-I3~~Q.~r1!!a~HeaJir1g~Y~n.!i!a.ti.f1g_.._
Q'T Gas J DOiI---.~_-.J 0 EI' I D.... Sola-.r.._-_..------l
L:..l _ _ .. --ectr~_=~J _ _-"
D New ---.J [~L~~place _________..-1
0J U OSteam-----J ~ ~
. Forced Air Radiant ~ b-J~-~=~
a-Electric ~~..-I ~~___J IT_~~l!.r.nerJ
ITChimney A.-O. Chimney B _____Dire_c~__Q Not Applicabl~:=:J
ITAs Approved ___._~.!![___ :====_Q_Not~P2Iicab1e====:
l2 A_0'er Plan __.__()_\@!:Lable_~=:::::-____-.::=Oth.e.r-==::::::::====:]
Plan
Fuel
D]~~::::==:=i
System
Other
D~Verlr-~==~i
Chimney Type
BTU Rate
__!5.9,goo
i
i
I_~____-
~-------"-"--------_._----------"---------_._.
i
___J
Fees: Valuation $2,971.00
Issued By: bmS---.--
Plan Approval
$0.00
Permit Fee Paid _______J>55:.99
Date 12/03/2007
-_.~
o Perm it Voided I
~_._~--
Parcelld # 1001160000
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 IN
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 (i.e. Footing, Service, Final, etc.), Access intoBuilding 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.
I
'.
City of Oshkosh
DMsloA of lnspecdon $c:rVicc:$
P.O.80x 1138
OsbtcoJb, WI 54901-1130
~(930)2JG-$OSO
F.x (920) 2J60-SOM
DEe 03 2007
DEPARTfvJENT OF
COMMUNITY DEVELOP!\1E
INSPECfION SERVICES [T' _
HVAC PERMIT APPUCAOON
All inbmatiun after bofd categOries snusI be provided.
tlJCQmpfete appifeali90s will not bcprocmed.
· AppJlcatlaT(s) and rce(s) can be tJrou&ht fa City Half. Room 70$ nrmailed to Inspedion SeMees., PO 8cm 1113.
Oshkosh WI 54913..1121. Cotmnencmg work withoUt permit(!\l wilt result in fees being doubled or $100.00 plus the.
fUlnnal permit fee, which ever is' greater.
OR
:~ ;:: '::,,: :'~=;':::~~:U~l:!; ~~::;~ftfire Aeeolfnl ante. tint! ItfIVlt mleIlO'''. frlJtd~ d"e~ MI<<
DATE H -~p~'" -
JOBADDRESS C\?\\ ,\. \)~~~~
OWND \ ,.,......:.... '" ~ .. ~~ ~\.. '- ~ ').. .......
CONTllACTOR. \'\.""').. ~~ i.~ ~~~~
~ S ALL APPLICABLE
USECA1'IGORY
.Single 'antity ODuplex OMulti-Famity ORemaI OCommen:ial
Olndustrial
PUEL '*-
001
CEfettrit OSoIid
CSoIar
SYSTEM ONew
OOther
JtlReplace
TvrlS
i\.Fcm:ed Air ~fant OSIMm ONe OVent OEtcceril: CHot WfJJer 0Supp1. aeon. 8urner
IS CBlMNIY BUNG LINED fJHo "Yes - UNER slm . " MANUfACTURER
Nole: AU ~ shall K siad perthe rRtJ"S bein& vtn1ed.
CBIMlfEY TYPE OCbimney A OCbimney 8 tltOired Vent OOcher
HEAT LOSS OAs Approwd "Existing ONot Appfic;able
BTU RA TI CAs Ptr Plan OVariable M.,0Ihtt Value ~l. ~
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v AWl .tadodhiJl hb,.. ..... ft,.kri.'" i) LC\9\.!}) ;, C"'i)
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ELKCTRICALCONTRACTOR ., ~~- _~~(.\~ ~\~~~~
:: F'or applicable ptOjccIs. an EIectr~ llIStanation VerirlCalion fOrm. Ii the Eledrical Cornraetor. must be
aUra;hcd. If not- atta1:hcd or not applicllbk. a sepande Sturrkat Permit is teClui~d.
10/114
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