HomeMy WebLinkAbout0131602-HVAC (furnace)CITY OF OSHKOSH No 131602
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 524 BOWEN ST Owner JOMARY DEVOE Create Date 07/17/2008
Contractor WESLEY HEATING & COOLING INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ 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 Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value 70,000
Use/Nature
of Work
EIV SIGNED BY KO
Fees: Valuation $3,526.00 Plan Approval $0.00 Permit Fee Paid $64.00
Issued By: Date 07/17/2008
^ Permit Voided ~ Parcel Id # 1102360000
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
AgenUOwner
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 R
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Division of Inspection Services
P.o. Box I l3o
JUL 17 2008 ~
Oshkosh, WI 54903-1130
Phone (920) 236-5050
920
236
5084
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DEPARTM
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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 20~ or mailed to (nspection Services, PO I3ox 1 128,
Oshkosh W[ 54903-1 128. 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 narticioating in the Permit fee Account System and have adequate funds, check here
if you 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) 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 ~-\~-~~
JOB ADDRESS~~_.5~~~
OWNER~p _ ~~~ (d9.~
CONTRACTOR ~
i
CHECK B ALL APPLICABLE
USE CATEGORY
I~Single Family ^Duplel ^Multi-Family
^Rental
^Commercial ^Industrial
^NewReplace
^Other
FUEL Gas Electric ^Solid
^Oil ^Solar
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent
IS CHIMNEY BEING LINED l,~lo ^Yes -LINER SI
1\ote: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chiinney B
HEAT LOSS ^As Approved l~Existing
P,TU RATE ^A~ ?er Plan ^Variable
SYSTEM
^Electric ^Hot Water ^Suppl. ^Con. Burner
?E & MANUFACTURER
(,Direct Vent ^Other
^Not Applicable
[,~ther Value ~~C~~.rC~,
DESCRIPTION /SCOPE OF ALL WORK BEING ~~O
VALUE (Including labor and materials) $_ , ~~~ ,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ ..
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.ICN._~12-2~t3 @4:01 FF2UM:41t~EY HEATING E920) 235-6551 Tfl:192t~73r`965
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Electric I>~stall~tivin \terification
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(F.lecttical Contractor Name or H is Name)
(~,ddc~sa)
(State) (Zip Code)
accept the eespongtbilitY to perform the eLecxrie wooric as ttatod belorov, at ti2e follawiog address:
1 (Address wtlae work will Lrc performed)
'[lie nature of the vwark consises of: (Chick One or DBSCebe the Nature of Wot~c)
Reconnecsion or ~ecw circuit for roplacement Npating Pant and/or A/C Ca~dt~nser.
Reconnection or hew circuit for replacement F,~ectric Water- ltoatcr or pow~r Yentaed
~ water heater.
Recatrnectian of tLte Service Entrance Cabte, Meter Box, alterations to receptacles
and Lighting fixtures due to sidieg / soffit irtstallatiorr. Nobs: New Service
Entrance Cables wits require a separate permit.
,,,,,,~ R~econnectiort or new circuit for the reptaccment of other permanently wired
appliances i fixtures. ~
New ritcuit for the addition of AtC to an iiufiv~dual ciwelli-tg runt, Snctudi~
required service ctectrical outlets. Note: f,Tonl~vwners can only do their awn
electric orr a single fdmlly owner occupied hams. Work on tz canrdomlr-ium,
dr~lex, rerrty~ or multi-use building would require a tacerrsed Elecb'fcrrl
Contractor.
Qther
The value of this wtxk is $ ~~
I hereby verify this work will be performed in compliance with the License requirements of
Section L l -22 of the Osh~.ash Municipal code and fuzther verify the recorrnectian / ittstallatiorr
will be dome incompliance with manu~-.:carer and ~.Lectric code requirements. {.~.
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