HomeMy WebLinkAbout0133035-HVAC (furnace) CITY OF OSHKOSH No 133035
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 842 BISMARCK AVE Owner CHRISTOPHER R JONES Create Date 09/22/2008
Contractor WESLEY HEATING & COOLING INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar i Solid ''.
System ^ New ^/ Replace ~ ^ Other ~
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value 50,000
UselNature FR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC ""check #95407
of Work
--- I
Fees: Valuation $2,490.00 Plan Approval $0.00 Permit Fee Paid $47.50
Issued By: Date 09/22/2008
^ Permit Voided
Parcel Id # 0603710100
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 performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, W[ 54903-1 1 30
('hone (920) 236-5050
Fax (920)236-5084
RECEIVED
SEP 22 2008
DE~pARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
HV~IC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O HKO H
ON TNF WATrR
i
5
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 1 28. 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 barticipatinQ in the Permit fee Account Svstem and have adequate funds, check here
if you want this processed through your account
** 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.
JOB ADDRESS ~~~ i~g~~41~ ~Y~
OWNER C ~~-~~~°A~_ ~ Q~~
CHECK H ALL APPLICABLE
USE CATEGORY
6~ISingle Family ^Duplex ^Multi-Family ^Rental
DATE Q - ~-~1-
^Commercial ^Industrial
FUEL j~Gas ~ ^Electric ^Solid SYSTEM ^New f~Replace
^Oil ^Solar ^Other
TYPE
Forced Air ^Radiant ^Steatn ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ~No ^Yes -LINER SIZE & MANUFACTURE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B j~Direct Vent ^Other
HEAT LOSS ^As Approved ~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable .~IOther Value ~ ~'`~
DESCRIPTION /SCOPE OF ALL WORK BEING DONE r~l, n n ~ ~ n . ~ : w~ a tr-..~_ r
VALUE (Including labor and materials) ~~1(~~'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~~~ ~~ ~ ;
o~lo~
SEP-6-Zi~ ~3: XG FROM'I~ WESLEY HEFiTiNta ~9~J) ~3~-a~~:t i u: CJb i rCJ
~~~s~~c ~ ~~l • e~
Dirioonoflmp~aia,se~m
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~~~~~~,~ o~kaM wt 5490~11l0
a~ y~oaarao~o
~,,,, Fax 9t6-I36.Sblu
~iectric Installation Vsrificatioo
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t (We)
(Electrical Contractor Name or Hor-teowner's Narte)
~ ~i
4Address~ ~ (City} ,(Blatt) (Zip Code)
accept the responsibility to perform the electric wnrlc as stated below, at the following address:
{Address where wak will be perfonne~d)
The nature of the v~vrk coXtsists of: {Check One yr IJeseribe the Nature of Wack)
`~ Reconnection or new circuit ~or repiacement Heating C'lant andiar A/C Condenser.
Reconnection or raw circuit #'ar rzpl8caneM Epic Water Hoatar oir power vented
water heater.
,~,~, • Reconnection of the Service Entrance Cable, Meter Box, atterarions to receptacles
and lighting ~xtuces due to siding / sofftt installation. Nate: Ncw Service
~trtrarrcc Cables will requite a separate permit.
lteCOrlnectian or new circuit for the replacement of other permanet>tly wired
appliances !fixtures. ~
New circuit for the addttiQzt of AtC to an iridivtdyal dwelling unit, ia'tcluding
required service electrical outlets. Note: l~lomeowners can only do their own
electric on a single family owner occupied ha-ne. Work on a condarninium,
dupte~ rental, or ma~lti•use building would require a licensed Electrtca!
Contractor,
Qt11Gr
The value of this work is $ FJ • 4r3
:hereby verify this warEc will be performed in c,Qrxtptia=sae with the L9oense requir~menrs at?
Section 1 i ~22 pf the Oshkosh Municspal code and further verify the reconnection I installation
t,.. will be Bane in compliance with rnanufactt;rcr and'.?lccuic code requirements.
(Sign ra of ny Officer ar Hameowrter~ ~Prirp N;a-~~
~Uate~
07!(1`T
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