HomeMy WebLinkAbout0132786-HVAC (furnace) CITY OF OSHKOSH No 132786
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 300 ALLEN AVE Owner JANET R PULVER Create Date 09/10/2008
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 Existing Not Applicable Value
BTU Rate As Per Plan Variable Other _~ Value
Use/Nature FR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC "check #95347
of Work
Fees: Valuation $2,911.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: ~i~ Date 09/10/2008
Permit Voided Parcel Id # 1518730000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 3220 BASLER LN
OSHKOSH WI 54901 -0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
'1i-~.s~~. ~JS
City of Oshkosh
Division of Inspection Services ~ ~~
P.O. Box 1 l30 ~~
Oshkosh, W[ 54903-1130 R f
Phone (920)236-5050 • ~
Fax (920) 236=5084 SEP 10 2008 O HKO H
o^e n,~= war=e
HVA~ PERMI~~~~~~e~T
All information after b~~~~f t~Nd$~~SION
Incomplete applic wit not be proc2ssed.
Application(s) and fee(s) can be brought to City Hall, Room 205 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
/f you are a contractor participating in the Permit fee Account System and have adequate funds check here
i[vou want this processed through yoarr account n
** Advisory -For applicable projects, an Electrical Installation VeriFcation (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.
DATE ~-~~-~Q,
JOB ADDRESS~~~Z~ ~o ~ ~ ~~~
OWNER,~`(1~~0 ~ ~~s.~. 1~ ~. ~
CONTRACTOR i '
i
CHECK B ALL APPLICABLE
USE CATEGORY
l`~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL ~as ^Electric ^Solid SYSTEM ^New (Replace
^Oil ^Solar ^Other
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ~'o ^Yes - L[NER S[ZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ~irect Vent ^Other
HEAT LOSS ^As Approved Existing ^ of Applicable
BTU RATE ^As Per Plan ^Variable ~Othe- Value ~ ~'~
DESCRIP ('ION /SCOPE OF ALL ~'. ORK BEING DONE~~~\41c~,~ ~,' ` -~,_
r, fl
VALUE (Including labor and materials) $ ~~Q \ \ ~ ~''~
ELECTRICAL CONTRACTOR (for projects not requiring an EIS' Form) ~a~~y ~ ~~~~ `~~~
JUL_-28-290G~ 1'J:~3 fT:OF1:1~S~E`i' tiEf~T~hi~i f52O7 ~35-b951 TU:i=,~bffCS
city mro~o~
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Fa tee 1 Aso
D~kodt,Wl SA903•ItaO
Office e{o ~%.SaOP
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~1~ctric In~ta~at~ol~ Velrif canon
(>1leetrical Contractor Name oc Homeowner's IYamc)
P.2
(Address) (City) (State) (Zip Cede)
acxept the responsibility to perform the c>cctric work as stated below, at the following address'
{Add~ss where work will be petformed~
The nature of the work consists of; (t~CCk One or Desecribe tie Nature of Work)
-~ Recanneetion ar new oircuit far replacement Heat'Ing Flant and/or A/C Condenser.
Reconnection or new ciroait fvr ropl~ceniCtrt 1?loctt'ic Water i-Icatcr oc power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting i:txtures due to siding / soffit installation. Note: New Service
lsntrance Cahles wilt require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / ~xtures. ~
,New circuit far the addition ofAJC to an individual dwelling tacit, including
requit'cd service electrical outlets' Note: Homeowners cart only do their awry
el~ctriG vrt a single family owner occtfpisd home. Work o>7 a condomnti:rm,
duplex, rental, or mudtl»use building would require a licensed ~Yeetrlcad
Contractor,
Other
Tice value of this work is $ '~~ ~J
j hereby verily this work will be performed in compliance with tl~e Lic~ens~ requirements of
Section l 1-2~ of rhE Oshkosh Municipal code and further verily the reconnECtion /installation
will 1~:. done in col~lplianee with rnanufactus~er and Electric cod~~.,reyuircm:;nts.
( nai~us of Co ny Omcar ur Hvlnepwner~ ~PrFns iQ~noc} tpata~
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