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HomeMy WebLinkAbout0131601-HVC (furnace)OSHKOSH ON THE WATER Job Address 1102 WINDSOR ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner THOMAS J/KARINA J SKOGLIND No 131601 Create Date 07/17/2008 Contractor WESLEY HEATING 8 COOLING INC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar Solid J ~ _ System ^ New ~ ^/ Replace ~ Other Q -- - - - / Forced Air Radiant Steam A/C _Vent --- ~ Q __ Electric Hot Water Suppl. Con. Burner Chimney Type Chimne 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 , UselNature FR /REPLACE FURNACE, EIV SIGNED BY KOLLMANN-REILLEY ELECTRIC "check #94999 of Work Fees: Valuation $2790.00 Plan Approval $0.00 Permit Fee Paid $52.00 T. i Issued By: ^ Permit Voided Date 07/17/2008 Parcel Id # 1310000000 In the performance of this work, I agree to pertomt 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 Address 3220 BASLER LN AgenUOwner 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 performed within two business days from the time the project is ready. ~~: ~ ~ .~ City of Oshkosh Division of Inspection Services '~ P.O. Box 1130 ~U~ 1 7 208 Oshkosh, W[ 54903-1130 Phone (920) 236-5050 pEPARTMENT' OF Fax (920) 236-504 COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not bC processed. • Application(s) and fee(s) can be brought to City Hall, Room 20~ or mailed to Inspection Services, PO Box 1 128, 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 contractor particioatinQ in the Permit fee Account System and have adequate funds. check here if yotr want this processed through your account ** 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) mast 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 ~- ~~~~ JOB ADDRESS ~ ~©c~ ~ ~'~LSc~~ ~~ , UWNLR -~- CONTRACTOR ~ -~ i ~KO.IH o^s n;~ ~:~,~r-F CHECK B ALL APPLICABLE USE CATEGORY f~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL j~ias ^Electric ^Solid ^Oi] ^Solar SYSTEM ^New ^Other Replace TYPE f~Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ~lo ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BT'U's being vented. CHIMNEY TYPE ^Chitnney A ^Chimney B (Direct Vent ^Other HEAT LOSS ^As Approved ,[,Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable (Other Value _~~~~ DESCRIPTION /SCOPE OF ALL R'ORK BEING DONE ~~ VALUE (Including labor and materials) $ ~~~~ _ S~~ ELECTRICAL CONTRACTOR (for projects not requiring an E1~' Form) -~ ,; I~fl11/LYJC76 LCl.Jf ~co~r.,~r~ou ~ ,71.lt_-11-2008 22.:30 PFit1M:41~EY I-EA7Ihl~ 1 t (wr) 1\ I\ LLLV 11111r LLV c~~ ~s-~~s1 ro: a_~~s I t Electric Ynstallatinn 'Ver~ficat~On (E1~Wce1 Contractor Name or ~~~ (Address) (City) (State) (Zip Code) oceept the responsibility m perform the electric work as stated below, at the foltow'sag address: V V ~ ~ - -- - ~..I~l~^= .+r ( WhEl~C 91Vp[~'iYlll, be f The ttawro of the v~rark ooztsia~ of (Check Qne or Describe the Naaue of V~ortc) F ; X Reconnection or cir~it for ceptacement Heating Plant attdlor A/C Cvnd~t-ser. Reconnection ar ndw ciret~it for replacement Electric Watcx Fleeter ar pawer~vented ' Water' hGBtCC. ~ R.ecannection of the Service Entrance Cable, Meter Box, alteratives to rocepta+cles atad lighting fixtures due to siding 1 soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection oc new circuit for the replacement vl'othGC permanently wired appliances t fixtures. ~ New circuit far the edditiorA of ,A1C to an individu~rl dwelling unrt, including required service electrical outlets. Noie: Homeowners een arty do (heir own electric on u single family owner occupied hums. Warlc vn u cptrddptlfrttttRt, duple~r, rental, or multi-tt~rc building would require a licensed 1:lectriccrl Contractor. Other ~~*~ The vgluc ~f this work is $ 1, hereby verify this work a+ii1 be performed in compfience with the License rtquiretnents Of Sect'son t 1 ^~.2 of the Oshkosh lvtunicipal code and further verify the rlsconttection / instaliation +~- will ba done in compliance with nsanufac'arer and Electric code requirements. ~ ,, (~ p~Y Otltc~er nr HamGO~er} Print Nye} (per) 0]lA7 Ci4! otOeO~Moeh P:vuia+of k.~sbooSrvioe~ 2{! C Aeeewe !0 Weer 1130 oillco~ wt 11903.1130 Ott 1nW174.7CS6 Ella 92o`I3a~MM e