HomeMy WebLinkAbout0133037-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 216 OXFORD AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner VICTORIA A PETERSON
No 133037
Create Date 09/22/2008
Contractor WESLEY HEATING & COOLING INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar ^ Solid _ 1
System ^ New ~ /(~Replace _ J ^_Other
/ Forced Air Radiant ~ Steam ~ ~ A/C ', [] Vent
Electric Hot Water QSuppl. Con. Burner _I,
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 50,000
UselNature SFR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC **check #95407
of Work
Fees: Valuation _ $3,097.00 Plan Approval $0.00 Permit Fee Paid $56.50
Issued By: ~~~ Date 09/22/2008
^ Permit Voided ~ Parcel Id # 0403870000
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
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 pertormed within two business days from the time the project is ready.
~~ ~ ~ ~~
City of Oshkosh
Division of Inspection ServicesR E C E
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 SEP 2 2 2008
Fax (920) 236-5084 DEPARTMENT OF O HKO H
COMMUNITY DEVELOPMENT ~ ON THE ~JATz"F
INSPECTI~I~~~'I~~hA-PPLICATION
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 W[ 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
Nvou are a contractor narticipatinQ in the Permit fee Account System and have adequate funds, check here
if you want [his 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 ~ -- ~ - pQ~
JOB ADDRESS i~ ~ L.a. Cl ~`~ ~~ !.
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental
^Commercial
FUEL ~ Gas ^Electric ~^Solid SYSTEM ~ ^New
^Oil ^Solar ^Other
^Industrial
Replace
TYPE
Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED t~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 ~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable Other Value ~~
DESCRIPTION /SCOPE OF ALL WORK BEING D
4Y
VALUE (Including labor and materials) $ ~ ~ . y~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~~, 1t~S~~~ q~~, o~
o~~o~
CHECK 8 ALL APPLICABLE _
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PO Soot 1130
O~nkwh WI ~4903•t ta0
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accept the responsibility to perform the electric work. as ata'~ed below, at the following address:
Electrit~ ~~a~sta~ation ~Te~a~fac~tian
~~6
Gantt><'act4r Nome nr Ydomeowner's Name)
(Address where ill be per'fwmed)
't'he nature of the work consists of (Cfieetc one or ~ tt'le Nature of Work)
~,,,_ Reconnection oc new circuit for replacement ~iesting Plant andlar A/C Condenser.
Reconnection or new circuit for refllaeamettt Electric Wader Heater or power vented
water hector.
YteconnectSon of the Service ~ntrsnce Cable,lvieter fox, altierations to receptacles
~.. and lighting fixtures due to siding 1 soffit i~tst$Ilatiorl. Nate: New Service
Entrance Cables will inquire a separate permit.
Reconnection or new circuit for the reptacentEnt of other pettnanently wir+~d
appliances /fixtures.
New circuit far the addition of P-IC to an i»dividual dwelling unit, including
required service electrical outlets. Note: Homao'wners can arrly da their own
electric on a sin~la family vwt:er oceunied home. Wank on a condominium,
duptQx, rerhtal, or multi-use builrir»g would require a licensed Electrical
Contractor.
Other
"The value af'this work is $ '~V •Qd
I hereby verify this w~ark will be performed in compliance with the License requirements of
Section l 1-22 of the Oshkosh Municipal code and further verify the recpnnection f installation
will ~ donG in comp.'tiar~ce with manufacturer and ~tectric code requirements.
~S' of Ca y 4f1'ioer or Hastcovy~)
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