HomeMy WebLinkAbout0133036-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1018 EASTMAN ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner SUSAN E BLOECHL
No 133036
Create Date 09/22/2008
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 i Vent
Electric ~ Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value 75,000
Use/Nature FR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC *'check #95407
of Work
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Date 09/22/2008
Parcel Id # 1002700000
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.
Permit Fee Paid $65.50
~~ s ~- ~G
City of Oshkosh E'v ~D
~E~
Division of Inspection Services
P.Q. Box 1130 ~ SEP 2 2 Z~~$
Qshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 DEPARTMENT OF
NIT`( DEVELOPMENT
COMMU
E
APPLICATION
HVAL~~ERMIT
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 1128,
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
** 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 EN when such is required, will not be
processed for Permit Issuance and will be retained for completion.
DATE q_~~' -~~
JOB ADDRESS ~~\~ 1, c~.~~-mom '~ ~-~_
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental
FUEL Gas ^Electric ^Solid SYSTEM
^Oil ^Solar
^Commercial
^New
^Other
^Industrial
I~Replace
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No Yes -LINER SIZE_~~ & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B Direct Vent ^Other
HEAT LOSS ^As Approved ,j~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable I~Other Value `-(,~1 ~~
DESCRIPTION /SCOPE OF ALL WORK BEING
VALUE (Including labor and materials) $ o ~c~ -
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~d~~~ ~~~ -~~'~. ~
o~/o~
CHECK ®ALL APPLICABLE
~~I-'-F~-2@@E @3 ~ 17 FRQI~ t t~ESLEY MEt~T'iNta l~'7? 23-6561 ti u: f r'G~
of dahkosh
t)hAeleeef 1a~peetleM Seerioea
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PO tor,1130
pL19tM1 WI 3A903.i130
O~ux 920.~~6.s0~sa
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~l+~ctrite T.nst~llation V~IC~fiic~tfto~l
I {We)
(City) - (State} (Zip Code)
accept tfie responsibility to perfarn the clectrle work ac stated below, at the ft-llowing addt+esa:
{Address where work will be performed}
The nature of the wotlt consists of {Check One ar pescn'be the Nature of Work)
r.~
(Eltx~rical Contractor Nye or ~Iomeowner's Name)
Reconnection or new circuit far replacement Heating Plant andlar A/C Condenser,
Reconnet~ian or new circuit for repla~nent ~laxria Water Heater er power vented
water heater.
_.~,_ .Reconnection of the Service E~ Cable, Meter l~cnc, alterations to ,nrccptacles
as-d lighting fixtures due to siding / soffit installation. Nate: New Service
Bntrar-ce Cables will require a separate pesrrtit.
]tsconnectian or new circuit for the replacement of other perrnanentiy wired
appliances /fixtures.
,~, blew circuit far the addition ot'~1fC to an indrviducrX dw~lllr~g unit, includmg
required service electrical tauGl~ts. Note: HoArenwners ccrx only da tf~fr awn
electric on ct single fmnlljr awrn?r occppied hQrrre. Work an a cotdaniniur~t,
dil,~lex, rental, or multi-use l~uildlMg would reguir+~ u li~rrs~d ~leclrica~t
Contractor.
Other
The value ot'tltis work is ~ ~• ~~
I hereby verify this work will be performed in compliance with tk~e License requit~emerrts of
5ectian 1 t -22 of the Oshkosh Municipal code and further verify the rocanneGtian / instal lotion
will be lone in compliance with ntanufacturcr and Electric coc!c rcquirernernts.
(Si tun of C D(Ficcx or Homeowner} (Ptlht Name) (Date
D7ID7