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HomeMy WebLinkAbout0133038-HVAC (furnace)/~ CITY OF OSHKOSH No 133038 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 803 E CUSTER AVE Owner LILA M NELSON LIFE ESTATE 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 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 70,000 UselNature FR /REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC **check #95407 of Work ~ Fees: Valuation $2,210.00 Plan Approval Issued By: ^ Permit Voided $0.00 Permit Fee Paid $44.50 Date 09!22/2008 Parcel Id # 1509740000 In the performance of this work, I agree to perform alt 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 performed within two business days from the time the project is ready. City of Oshkosh R E ~/ E~ v E Drvis~on of Inspection Services P.O. Box 1130 ~ SEP 2 2 2008 Oshkosh, WI 54903-1130 Phone (920) 236-5050 DEPARTMENT OF COMMUNITY DEVELOPMENT a ~~ Fax (920) 236-5084 INSRECTION SERVICES DIVISION o~ r e n e HVA~ 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 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 /f .,n„ ~...a n nnn,rnrrnr nnriirinntino in rhv Parmi/ foo ACCnvnf ,4v.c/vm and have adeouate funds. check here ** 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 sabmitted without an EIV when such is required, will not be processed for Permit Issuance and will be retarned for completion. DATE ~ - ~- JOB ADDRESS g©~ ~ C t ~.~-~~ ~~ OWNER ~). ~ ~ ti._ ~.~.~.~~_ CONTRACTOR `F i CHECK ®ALL APPLICABLE USE CATEGORY Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL '~ias ^Electric ^Solid SYSTEM ^New (Replace ^Oil ^Solar ^Other TYPE 'f orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED {~io ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B f~Direct Vent ^Other HEAT LOSS ^As Approved ,~xisting ^Not Applicable BTU RATE ^As Per Plan ^Variable Other Value l1Q~~, DESCRIPTION /SCOPE OF ALL WORK BEING DONE s~_ c~~ ,t ~xc~s~„ VALUE (Including labor and materials) $ ~1t~ . +C7~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~C ~,d~ -~ _ ~-c~ ~ c ~ o~/o~ ~cr-ao-Cr~a ~~aJ~:i rtCU~'IpMG:~LC.T' IlLfii LtN3 t7CF]) ~'~.5'b'~l TO:2:~u(rC~ I''.C `, CYryotO~kosh Divi~icno£ImpeeiooSaricss xla a+,>~ n+~ ro Baoc 1130 ~. n 41~koeh WI 54903-113P Oltics 9!D-~SGs050 Pbr ~yT3Yi964 ~Xectric Instalia~ion Verification Contractor Name. or Homeowner's 3Jame) I (We} (A.ddress) tCitY) (Stagy) (Zip Cade) accept the tt:sponsi6itlity to prxfarrn the electric work es stat~i below, at the following address: (Address whace work wilt be pexformed) The ns~ture of the utesrk cansist~ o~ {Check Qne or );3eacnbe the Nature of VVork~ ~_ Reconnection ox view ctrcuit for repiacettles-t Heating lylanE artd/pr AJC Condenser. ~,_ Recanrtecriort ar new circuit for ra:place~ttertt Electric 14Va#er Heater ar pourer vented water heater. .~_ iter~onntxtion of the Service Entrance Cable, Meter 13x, alterations to r8ceptaoles and lighting ~xtunes due to siding ! safiit installation. 1~Tgxe; New Service Entrance Cables will require a separate pcrrnit. RarconnectiQn ar new circuit for the replacement of other permanently wired appliances ! ~"ixturas. New circuit far the addition of AIC to an individual dwelling >ifrtil, including required service electrical outlets. Non: Homernvhcrr can only do ttreir own electric on a single famtdy ow~;r occupied Hrime. ~ Work on a condominium, duple rental, dr multi-use building would re~rn u licensed Elactriaal Gontractar. Other 'Che value of this wow is $ ~~~ -~ ii hereby verify this work will be performed in compliance with the License requirements of Section I i -22 of the Oshkosh Municipal code and further verify the recanrtection / installation will bu done in compliance with manufacturer and Electric code requirements. ~~ (sig or co ~, 0[i-x~ ~ x~~~ (mot r~,r) (} mro~r