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HomeMy WebLinkAbout0130164-HVAC (furnace)CITY OF OSHKOSH No 130164 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2015 HICKORY LN Owner JEAN C PICKERING Create Date 05/27/2008 Contractor WESLEY HEATING & COOLING INC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil ~ Electric Solar Solid System ^ New ~ ^/ Replace ~ ^ Other / Forced Air Radiant Steam A/C Vent ~ Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value 100,000 Use/Nature of Work .FR /REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMANN-REILLEY ELECTRIC ""check #94695 Fees: Valuation $2,408.00 Plan Approval $0.00 Permit Fee Paid $47.50 Issued By: ^ Permit Voided Date 05/27/2008 Parcel Id # 1526150000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 3220 BASLER LN Agent/Owner OSHKOSH WI 54901 -0 Telephone Number 920-235-6951 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. ': City of Oshkosh _ R~CELVED _._ ,Division of Inspection Services __-.__ PAItTN1EN _ _ ---._:__. _ _----- - - -- _ _ __ - -------- _:- _ _ : - ----4M FHE WAtER HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. _.., _ _;_!~=Application(s) and feels.)-canoe=hr~.ught_to City Halltl~flm3Q~or mailed to Ins ection_S~rvl~~,_PQ_$_ox ] 128,. _ _ __ _ Oshkosh WI 54903-1.128, Commencing work without permit(sj will result in fees being doubted or $100.00 plus the __ , - ~~°--ter„ --~ ~ - ------ -- ,~ __ - -- -_7I'-you are a contractor participa i'nQ in the Permit lee Account System and have adequate funds, check here " if you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (Elm form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be retarned for completion. DATE 5~s - ~ JOB ADDRESS .OWNER ;CONTRACTOR > I t CHECK 0 ALL APPLICABLE USE CATEGORY Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL (,Gas ^Electric ^Solid SYSTEM ^New f~Replace ^Oil ^Solar ^Other ~PE Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED I~No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B Direct Vent ^Other HEAT LOSS ^As Approved l~xisting ^Not Applicable BTU RATE ^As Per Plan ^Variable jf~l0ther Value ~~~ ~~~ DESCRIPTION /SCOPE OF ALL WORK BEING-DONE,' ~TZ\ ~~ c ~~=~;r ~~ ~ ~i~ Sim ;_-~ - ~_ VALUE (Including labor and materials) $ 1`~ ~~~ ~ CCU, ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) o~/o- 05/07/2008 20:37 920737965 K-R ELECTRIC LLC PAuE ©1/01 MFaY~B-2~B ~:~ FRQr1:i~E51k1' IfATIt~iG t92i3) 235-5951 Tf3:152A27~7965 P.2 _ ____ __ .'_ zists~ca,waiue -- -- - ~---DEPAR7"NIENT O -_.____ ~Oa°°`~~0 COMMUNITY DEVELO MENT dl~ltad~ Wi 3~Jb~11~ ~ - ~+ ~~~ INSPECTION SERVICES DIVISION F~ 920.2~6~~4 ; i - -- - _ - ~ - - --- - (h,(ectrica] C,or-traator Name Qr wncr'a Name} tAdd~s} (~3 (~~) trip ) accept flit responsibility to pcrfarm the electric work as statiod bcle~r; at the ilalloatng address: (A~drass where work performed) The nature of the work consists of. (Check dne or I~cribe the Natetre of Work) Itoconnoctic3s: a new cirr~it £or tr:glucernatrt IIs~-ting plant iad/Qr ~!!G Condenser. ~„_ Ruannection or slew circuit far replacement Electric Water Iieatcr or power vented 1~attt hCatcr. Raonnzctian of the Servirt Entrance Cabie, i~i~etar Bax, alterations tt> regales and ligfitntg fi2ctutes daeta Biding 1 safnt lnstal#atlon. Noce: Now 5$cvice lintranae Cables witl require a separate permit. Recormection or new circuit for fhc replacement of other permanently wired appliances /fixtures. New circuit for the a~ition of A!C to an individual dwelling wit, includ`utg rogUlred service elecutoal outlets. Note: ~omearvr~rs can vndy a~ llsCir mva electric oil a sengle family owrrar c?ccrtpied home. Work v+r a coridontirtlgm, duplex, rsntcrl; or ntulri-ttse balding -rould reQutre a licensed Elecrrlcal Contrt~ctox. Other _~~ ~~ The value pf this warrlc is $ =-- C hotly ver#fy #his wank wilt be-perfar~rzed>ist-compliance wi~thc: Li_3regaircrnents of _ _: Section: l 1-22 of#hc Oshkosh Municipal code and further verify the recannectlan 1 installation - - -~#11e=incvnipliat~ewithfnont-f'ar~,dhless- : - _ tsisnauae corl:perly ot~ioer a Elomemvrler) (Fri>u Nunt} tom) ~~~