HomeMy WebLinkAbout0130379-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 817 FLUOR CT
Contractor WESLEY HEATING & COOLING INC
Fuel / Gas Oil
System ^ New ~
Chimney Type
Heat Loss
BTU Rate
Use/Nature
of Work
Forced Air Radiant
Electric Hot Water
Chimnev A Chimnev B
OF OSHKOSH
HVAC PERMIT '; APPLICATION AND RECORD
~ As Approved ~ Existing (~ Not Applicable ~
As Per Plan Variable Other
EXISTING CENTRAL AIR UNIT,
Fees: Valuation
Issued By:
771.00 Plan Approval
JUNE K SCHLOERB
No 130379
Create Date 06/06/2008
501 -Residential-Air Conditioning Plan
Electric Solar Solid
eplace ~ ^ Other
Steam / A/C Vent
Suppl. Con. Bumer
Value
Value
$0.00 Permit Fee Paid $82.00
Date 06/06/2008
Voided
In the performance of this work, I agree to perform all work purst
While the City of Oshkosh has no authority to enforce easement
described in this permit application within an easement, the City
holder(s) and to secure any necessary approvals before starting
Signature
Parcel Id # 1100530100
to rules governing the described construction.
rictions of which it is not a party, if you perform the work
ugly urges the permit applicant to contact the easement
i activity.
Date
Address 3220 BASLER LN
To schedule inspections please call the Inspection Requ
Inspection (i.e. Footing, Service, Final, etc.), Access into
Number. Unless specified otherwise, we will assume thi
continue if the inspection is not pertormed within two b~
WI 54901 -0 Telephone Number 920-235-6951
st line at 236.5128 noting the Address, Permit Number, Type of
3uilding if Secure (how do we gain entry), your Name and Phone
project is ready at the time the request is received. Work may
~iness days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~~~~~~
HVAC PE
All information al
Incomplete aI
DECEIVE
JUN 6 2008
DEPARTMENT (iF
COMMUNITY; DEVEI_OPMEN3'
INSPECTION SERVICES bIVlSION {~~
ON THE WATER
:RMIT APPLICATION
'ter bold categories must be provided.
~plications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
** Advisory -For applicable projects, an Electri'I al Installation Verification (EIV) 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 withoat an EIV when sack is regaired, will not be
processed for Permit Issaance and will be retarned for completion.
DATE .~~
JOB ADDRESS
OWNER. ~ ~ ~~Q~~
CONTRACTOR ~-
I ~~_, ~
CHECK ®ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL Gas ^Electric ^Solid SYSTEM ^New ~ I~Replace
^Oil ^Solar ^Other
TYPE
^Forced Air ^Radiant ^Steam I~A/C i Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED 1j~Io ^Yes - LI ER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being v nted.
CHIMNEY TYPE ^Chimney A ^Chimney B [,(Direct Vent ^Other
HEAT LOSS ^As Approved ~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable I~Other Value
DESCRIPTION /SCOPE OF ALL WORK BEI G DONE ~-
VALUE (Including labor and materials)
ELECTRICAL CONTRACTOR (for projects not re uiring an EIV Form) - ~ -- ~
ozio~
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Electric ~i
l (Wc) ~ ~t~'9~Q~
{Electrical Con
.._` _
(Address)
accepttho responsibiliiy to pa>hfa~rm the
_ ..__ (Address w1
The nature of the work cetosists of: (Ghee
~ )teconnection or new eirc';rit
Reconnection or new circuit
water heater.
Reconnection of the 5ervioe
and liglrfing fixtnccs due
Entrgnce Cables will mQ~
Rccontreclyoa Or new circuit
appliances /fixtures.
New circuit for the addition
required servtCe elactrica
eleC#ic on a single famrl
duplex, rental or multi-a
Corrtructor_
Qfher
Tlac value afthis work is
Y hereby verify this work wi11 be performe
Section 11-22 of the Oshkosh Municipal c
will be done incompliance with rnanui'act
~_ ~~~ ~~
(Sign of t:o~peny Qltiax ar k~peow>0er}
lotion verification
' r
Name or tCome is Namc}
{City} {Staff) (Zip Code}
work as stated below, ast the following ~i~:
'e work will bC porfcMSned)
one or lJescxi6e the Nature of Work}
r rep)acemenf Nespturrg Plant and/or A!C Cpndenser.
replacement Ble~tric Water Heater ar power vented
IbrgnGC Cable, Meter fox, aJtsrstions tci reiGeptacles
siding 1 acrlifit insfallxtivn. l~la~te: Nfw Service
c a separate permit.
r the rcplacamerrt of other petmanentty witecl
PAIC flo an rrdivid#iol dwelling unit, including
ouclecs. Nore_ ~Iomeow,>fers curl orriy do their awn
owner occupied home. Work on a conabmimccm,
e building would require a licensed Electrical
in compliance with the License requirements. of
ode and further verify the recattnection f installation
er and Electric code requirements.
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