HomeMy WebLinkAbout0131597-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1660 OHIO ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner NATHAN N/DOLORES N PAULOS
No 131597
Create Date 07/17/2008
Contractor WESLEY HEATING 8 COOLING INC Category 500 - Residentia--Heating & Ventilatin~_ _ Plan
Fuel / Gas Oil Electric
~~~
Solar ] Solid _.
System ~ New ~ ~/ Replace Q Other __ __ _ J
/ 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 50,000
Use/Nature FR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC *"check #94999
of Work
Fees: Valuation $2,780.00 Plan Approval $0.00 Permit Fee Paid $52.00
Issued By:
Date 07/17/2008
Permit Voided) Parcel Id # 1301810000
In the performance of this work, I agree to perform alt work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Address 3220 BASLER LN
Agent/Owner
OSHKOSH WI 54901 -0 Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, W[ 54903-1 1 30 JUL 1 7:200$
Phone (920)236-5050
Fax (920) 236-5084 DEPARTMENT OF
COMMUNITY DE!/ELOPMENT
H~A~ P~~~~Ia~~.~~~oN
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 20~ or mailed to [nspection Services, PO E3ox 1 128,
Oshkosh W[ 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
~f you are a contractor oarticipating in the Permit fee Account Svstem and have adequate funds check here
~f yorr want thrs processed through your ocr.~an/ f~
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must 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 returned for completion.
JOB ADDRESS. I l°~g~ ;
OWNER ~~ (~~rY. ~ ~ kr,., 4 ~a~
CONTRACTOR
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l~
CHECK Ll ALL APPLICABLE
. ,.~
O HKO~O
USE CATEGORY
[Single Family ^Duplex ^Multi-Family ^Rental
^Commercial
^Industrial
FUEL Gas ^Electric ^Solid SYSTEM
^Oil ^Solar
TYPE
Forced Air ^Radiant ^Steam ^AiC ^Vent ^Elecu~ic
^New
^Other
[Replace
^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED (~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's beine vented.
CHIi<INET TI'PE ^Chimney A ^Chimney B Direct Vent ^Other
HEAT LOSS ^As Approved [Existing ^Not Applicable
BTU RATE ^As Per Pl.in ^Variable .l~ther V~~'ue -G~~
DESCKIPTIOV /SCOPE OF A LL WORK BEING DONE
- -~
~~---
VALUE (Including labor and materials) ~~g ~ C~ ,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form} ~_~- `
e~ ~ ,,
o~.
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IN ~~ ~
~~ectric Installation Ver~ficat~oM
1(~Ne) lEk~ctrieal Contractor Name or Homeowner's Name}
(City) (State) (Zip Code)
(Address}
~~yt the cosponsibiliry to perform the electric work as stated below, at the following address:
(Addiress:wherework vri[t iue perforrtte~ i
The nature of the work oatsists of: (Check pne oc ~~ ~ N~''re °f WO1~`} .
~. Re`conttcction or new circuit for replacement Heafing Plant ~ttd/or AlC Condenser.
^~„ R.~conn~tron or new cirrcuit for n;placement Electric ~Nater}Hcater ~ power vented
~ wear heater. ! tortes
Rtconrtcction of the Service Entrance Cable, Meter Box= alterations to reeep
and lighting fixtures due to siding 1 sofi;wt installation. Note: New Service
entrance Cables wilt require a segaxate permit.
~_ R.ecanneotion or new oircuit for the replacement of othor permanently wired
~ appliances J l;<xtures.
__ New circuit fpt the addition of A/C to an individual dwelli-rg uxit, including
- ~ requited gecYic~ electrical outlets. Note: .Firarrseo>,'ners can orzty do tftBtr own
electric on al! or mr~lrttx~se huttdlrrg woiuld require a t ceased ~~ ~al~~,
duplex. ten ,
~(J ftlYdc'10P.
Other
~'he value of this work is ~ '-~t ~
i hereby verify this work will be performed in compiiaace with the License requirements of
Saction t ! -2z of the Oshkosh Municioat code and further verify cite ~•Aconnection /installation
will be dot.' in cpmptiarke with manufacturerand Electric code requirements. ~.
(Si cure of C Pp4Y QfTicer cx HotnGGumer) (Print idame) (~atc}
07!07