HomeMy WebLinkAbout0131598-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1713 JACKSON ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CORLISS P EHLENBERGER
No 131598
Create Date 07/17/2008
Contractor WESLEY HEATING & COOLING INC Category 500 -Residential-Heating & Ventilatin Plan
Fuel / Gas Oil Electric ~ Solar Solid_
System ^ New ^/ Replace j ^ 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 70
000
,
UselNature FR /REPLACE FURNACE, EIV SIGNED BY KOLLMANN-REILLEY ELECTRIC **check #94999 ~
of Work
Fees: Valuatio~~ $4,550.00 Plan Approval $0.00 Permit Fee Paid $79.00
Issued By: Date 07/17/2008
^ Permit Voided ~ Parcel Id # 1209570000
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 LN 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.
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City of Oshkosh ~
~ "
Division of Inspection Services ~
P.o. Box 1130: JUL 17 2008
Oshkosh, WI 54903-1 1 30
Phone (920) 236-5050 DEPARTMENT OF
Fax (920) 236-5084 COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPLICATION
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 205 or mailed to Inspection Services, PO Box 1 t28,
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
If you are a contractor participating in the Permit fee 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 (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 retarned for completion.
~~i
DATE `~(- \~~
JOB ADDRESS 1`11 ~ ~Ai~~~~ti. ~,
USE CATEGORY
Single Family ^Duplex ^Multi-Family
^Rental ^Commercial
^Industrial
FUEL (Gas ^Electric ^Solid
^Oil ^Solar
SYSTEM ^New
^Other
Replace
TYPE
~~Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B J~IDirect Vent ^Other
HEAT LOSS ^As Approved ~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable ,Other Value ~~. ~~,
DESCRIPTION /SCOPE OF ALL WORK BEING
VALUE (Including labor and materials) $ ~c~~1[\. • ~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
.~
o- o~
CHECK 0 ALL APPLICABLE