HomeMy WebLinkAbout0130380-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1825 MAROUETTE AVE
Contractor WESLEY HEATING & COOLING INC
Fuel / Gas Oil
System ^ New ~
Forced Air Radiant
Electric Hot Water
Chimney Type Chimney A Chimney B
Heat Loss As Approved Existing
BTU Rate As Per Plan Variable
Use/Nature ~SFR /REPLACE EXISTING FURNACE, EIV SIGI
of Work
Fees: Valuation $4,774.00 Plan Approval
Issued By: ~`(1n~
No 130380
ar CHARLES/DEBORAH L FOX JR Create Date 06/06/2008
Cory 500 -Residential-Heating & Ventilating Plan
Electric Solar Solid
Replace ~ ^ Other
Steam / A/C Vent
Suppl. Con. Bumer
Direct Vent Not Applicable
Not Applicable Value
Other Value
uIANN-REILLEY ELECTRIC **check #94810
$0.00 Permit Fee Paid $82.00
Date 06/06/2008
Voided
In the performance of this work, I agree to perform all work purse
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 # 1229500000
to rules governing the described construction.
rictions of which it is not a party, if you perform the work
ngly urges the permit applicant to contact the easement
i activity.
Date
Address 3220 BASLER LN
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 they 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
HVAC PERMIT ~ APPLICATION AND RECORD
-~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
~ ,~
RECE
JUN 6
HVAC PERMIT APPLICA~JPARTMENT OF
All information a ler bold cate ories m ~ DEVELOPMENT
g u~~@ SERVICES DIVISION
Incomplete a~pli~ations will not be processed.
• Application(s) and fee(s) can be brought to City all, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work ithout 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 Ele
Contractor or Homeowner (for installations
with the permit application. Applications si
processed. for Permit Issuance and will be rep
JOB ADDRESS 1~~c
OWNER ;C . Q o 1~ ~. ~
! V ~
CHECK B ALL APPLICABLE
USE CATEGORY
`Single Family ^Duplex ^Multi-Fami y
FUEL ~ '1~Gas ^Electric ^Solid
^Oil ^Solar
TYPE
^Forced Air ^Radiant ^Steam l~A/C
IS CHIMNEY BEING LINED ~No ^Yes - LI 1
Note: All chimneys shall be sized per the BTU's being v r
CHIMNEY TYPE ^Chimney A ^Chi ~ ~
HEAT LOSS ^As Approved ~xi ti
BTU RATE ^As Per Plan ^Var'a
DESCRIPTION /SCOPE OF ALL WORK BEI~i
~ . . ~ _ ...n. ~. ~ _
Installation Verification (EIV) form, signed by the Electrical
'd to be performed by the homeowner) must be submitted
sd without an EIV when such is required, will not be
for completion.
DATE ~l~ ~1~~~
^Rental ^Commercial
SYSTEM ^New
^Other
^Industrial
Replace
ent ^Electric ^Hot Water ^Suppl. ^Con. Burner
R SIZE & MANUFACTURER
ey B Direct Vent
g ^Not Applicable
le }R[Other Value _
DONE
VALUE (Including labor and materials)
^Other
ELECTRICAL CONTRACTOR (for projects not re uiring an EIV Form) >~p ~`cr`cti.~'1 --~~~
.~`
o~/o~
06!01!2008 21:06 520273?565 K-R ELECTKIC LLG F'r~UE blrbl
MRY-30- 21:38 FROM; 4ESI...E1f HEATING C~7 i~-6951 1'0: 1~~73"r965 p• ~
C+y oroahY~wh
DivisioROfh~ioaSenaau
Y i 3 (~z+~ Avawe
P{1 f#a; i 13s
Oehi~ WI S+y03.1 I30
OR[ca ~10.276.3~
Fm~ q~.7.36.S0i4
EleetrYe ~
i (we)
(El~tricat Con
(Address
accept the responsibility to perform the
(Addross wl
'The nab of the walk consists ol:: (Ghee
~,_ Reconnection ar ntw circuit
j ,~ Reconnectton or new circuit
water heater.
,~„ Reconnection of the Secures
and lighting fixtures due
Entrance Cables will raq
lteconnectzbn or now circuit
appliances / firxtures.
New circuit far the addition
required service electrica
electric an a s#n;~le fami,
duplex, rental, or rrrulti~
Contractor_
_-- 4tfaer
verification
.._~
lame or klomeo is Named
{Zip Code)
c work as stated below, a# the fvllvwittg addross:
r~rork will be perfarrr-ed)
Cane or Aescribe the l+iature a£ Warlc)
>r repfawement Heating Plane andlvr AlC Candenscr.
n xepla~emcnrt Elecxrie Water Heater ter power vented
~ntranee Cable, Meter Box, aitsratians to rcceptacies
> aiding J soffit installation. Note: New Service
re a separate permit_
~r the rcplacemetrt q;F other permanently wired
~A/C to an indivici~al d-vaellingunit, including
ou#lets. Note: ~,Totnevwner~ can arely dO titeit own
owner occupier! hrrme. Work on Q condominium,
~ buitdiag would require a ticer~s~ed Edectxical
C~~
~11E YSIttC Of this Work iS ~,.,~,_
I hereby verify this work will be gerl'Orm
Section l 1-22 of the Oshkosh Municipal
will be danc in aamplisnce with rnanufa~
(5igna ~CornpBlry Ontcer or Iio,na~wexr)
in compliance with the License requirements of
~e and: further rrerify the reconnection /installation
per and:: Electric Cade reyuiremcnts.
Priht I~IafgC} ~ (D~te)
47N7