HomeMy WebLinkAbout0131599-HVAC (furnace)CITY OF OSHKOSH No 131599
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 357 W 6TH AVE Owner ALAN W STIEVO Create Date 07/17/2008
Contractor WESLEY HEATING 8~ COOLING INC Category 500 -Residential-Heating 8 Ventilating Plan
Fuel / Gas Oil Electric Solar ~ Solid
System Q 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 75,000
UselNature
of Work
#9499
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $55.00
Date 07/17/2008
^ Permit Voided
Parcelld # 0902500000
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.
i
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City of Oshkosh ~'°
Division of Inspection Services JUL 1 7 2008
P.O. Box 1130
Oshkosh, WI 54903-1130 DEPARTMENT OF
Phone (920) 236-5050 COMMUiJITY DEVELOPMENT ~~
Fax (920,) 236-5084 INSPECTION SERVICE5 DIVISION O HKO H
ON TriE WATF~
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 ] 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR '
If you are a contracto~articipating in the Permit fee Account System and have adequate funds, check here
if you want this processed through vour account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) most be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE L4=C11~1-0~'~
JOB ADDRESS_~„ ~ .~ ~~ R~x"~
OWNER ~.r. ~ ~ a ~p '
CONTRACTOR ~ tom. ~~ n ~. ~.c~~srxJ. {
CHECK 0 ALL APPLICABLE
USE CATEGORY '
Single Family ^Duplex ^Multi-family
^Rental ^Commercial ^Industrial
FUEL ~ias ^Electric ^Solid
^Oil ^Solar
SYSTEM ^New
^Other
l~Replace
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED 1,~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B C~Direct Vent ^Other
HEAT LOSS ^As Approved [$~Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable Other Value ~~ , C~.,,3
DESCRIPTION /SCOPE OF ALL WORK BEING DONE~,~-~\~ ~ . ~1~ ~ ~Y-t~-~
VALUE (Including labor and materials) $ ~G i~, . ~lC~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ 1cY-c~+~ , -_i-C, C
~. ~ ~
a~ ~ ~-r
,of 30f 200$ 06:42 920273'7965 ~
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(9~B1 235-6951 T0:1~0?7379SS p.~
~,teCtrtC ~nsta[~altiun V'erificatiotl
[ ('We)
(Electrical Contractor Name nr Homer's Name]
(Address} {City) . (State) (Zip Cade)
acecpt the responsibility to perform the electt3~c work: es stated belflw, at the foltawing address:
.~4
{Address where w~odc will be ,performed)
The r~eture of the work cansists of: (Chleck Qcte of Describe the Nature of Work
~,,, Recontx~tion ar new circuit for repllsce>~xart Heoting 1?lant andlar~A/C Condenser.
Reconnt~tion or new circuit for repl~e~ttent Electric Water Hcatelr ar power vented
water heatex. ~ ~
KeCOnnection aaf the Service ltttrarm,~ Cable, Meter Box, alterations to reaept>:eles
any! lighting fcxtarrs due m sidirtg!'soffitinstallation, Nate: New Service
Eti<trance Cables will require a separate permit.
Reconnection or new cit+cuit far the replacement of other permanently wired
applilrtrces ! f`ixtut+es. I
-~... New circuit for the addition of A/C to at'1 t`ttdividual dwelling settit, including
required serYice eiectrlcai outlets. Nvle: IS!`o~aw-ters curt anlydo tfreir vyvR
electric on a siagle, family o-vner oc~c.~upitd home. ii'otk on a cvndomtnt~rm,
duplex, rental, or multi-use b~r<Idi-tg would require tr licensed l;lecd'icul
COrilraetnr
~_ Other
The value o#`this work is $~?4 ~
t hereby verify this wor(c wilt be performet# in compliance with the License requirements of
Seetio>~ 14 -22 of the Oshkosh Municipal Cade end further verify the reconnection !installation
wilt be done in eompl~iance wi:w manuFaeturer and irlertric cods requiret~xents. ~:.
~A ,
Signitur f Cotnpa~ry t)ft"axr or Homeawnet) (PtiuR Name} (per}
41147