HomeMy WebLinkAbout0133905-HVAC (furnace) CITY OF OSHKOSH No 133905
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1105 DEVONSHIRE DR Owner WILLIAM H HODGE _ Create Date 11/10!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 Ven~
Electric Hot Water '; Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
eat Loss As Approved Existing _ Not Applicable Value
BTU Rate As Per Plan Variable. _ Other Value 45.000
UselNature
of Work
Fees: Valuation $3,339.00 Plan Approval
Issued By:
$0.00
Permit Fee Paid $61.00
Permit Voided
Date 11/10/2008
Parcel Id # 1311220000
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 sVongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starling 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, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
HVAC PER~VIIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be prdcessed.
^Commercial
• 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
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds check here
if you want this processed through your account I-1
** 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 returned for completion.
DATE ~ ~ - ~ -~'`~
JOB ADDRESS ~ ~~~ ~ 'V~n~ ~1 - ~Q,_,
CHECK C~1 ALL APPLICABLE
USE CATEGORY
(Single Family ^Duplex ^Multi-Family
FUEL Dias ^Electric ^Solid
^Oil ^Solar
{ 1~1~r~c
~ ~
^Rental
SYSTEM
TYPE
orced Air ^Radiant ^Steam ^A/C ^Vent
IS CHIMNEY BEING LINED (~No ^Yes -LINER SI
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS ^As Approved ~xtsting
BTU RATE ^As Per Plan LJVariable
Note: All chimneys shall be sized pert e BTU's being vented
DESCRIPTION /SCOPE OF ALL WORK BEING
^New
^Other
\~~
^Industrial
(Replace
^Electric ^Hot Water ^Suppl. ^Con. Burner
ZE & MANUFACTURER
(~IDirect Vent ~ ^Other
^Not Applicable
,L~Other Value ~~~ F1C`.~'~
VALUE (Including labor and materials) $ ~~3~. C`r
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) v ~ ~ ~ -~\ ~~ 1-tz ~ ~~
o~IO7
N~ "~-~-~ ~1- ~~ ~~~= wts~~Y r ~TZrr~ c5ze) ~5~ca95i T0:23f7725
P.~
C~yafo~kodi
213 Chueei~ A 8dvma
PO Ber 1(Sd
~~+~ fi3@
0#lice !]O~t36,tp3p
Fpt ~
~~ectric ~r~staIIa~on Ver~catitotn
(Electrtosu C.ot~acoar N>tnte ar Honalwvuner's New}
c'L~i~-4~.~~..,~ay`~ ~ .-~ ~~. spa., t ~ y~~
(} {~ ~
~~3' ~ ~ tfia efectria wank as below. et tl-a following address:
{Address wtxrc vworlc wi1(he
The natare afthe vvarlc ccrosists of {Check One or Descritye tle< Nature o€ Work)
„~,~ Reconrloction of new circuit for ~t ~ P ~. A<C Costdenscr;
.._._ Rec~rlacction yr t~ circuit for rep~~ F1ec~ic l~l-r Hector or power vetxted
water !;,ester.
._._... Reconnecliarr of the ~ ce tab meter
~ Box, attere#idtts &~ receptacles
ar-d lighting ~ due trs siding 1 soffit instzdIatipn. Note: New Service
ice Cables wlll require a separate permit.
.....~.. ~conneetion or new cir~euit for the replacement of other permanently wired
appliances 1 fixtures.
New circuit for the additiarn of A/C to arl itrditi-ideral dwelliq:- unit, including
reclttlired service electrical outlets. !Vats. Has+r~r~ c~rr arc their scan
electric vn Q single fancily ~~' o~~d ~Yt7rk cut n' rtit#I~s,
duplex, rer~al, or ~iti use ~g weutd reg#ire a l+~rrstiscl ~ltctrraal
~'at7trpctty;
- Qt}yuer
'i'hc v>it~c of this work is S ~[' '~
i hozeby v~fy this work will be performed in compliance with the l~.icense ~ir~t`~ csf
Section 1 l -2~ of the Oshkosh Municipal code sad further verily ~e4xi~ r i~stallativn
will be done in compliance with manufacturer ~d Electric c~ade requirefrt~nts.
°t mP~Y ~~ °r ~0} {Friel Nye}
~~~
07/07