HomeMy WebLinkAbout0133901-HVAC (furnace) CITY OF OSHKOSH No 133901
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1646 ELMWOOD AVE Owner STEPHEN B FAIRCHILD Create Date 11/10/2008
Contractor WESLEY HEATING 8~ COOLING INC Category 500 -Residential-Heating & Ventilating Plan
Fuel Gas ___ ~ Oil Electric Solar ~ Solid _J
System New _ J ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent ~
Electric ~ Hot Water Suppl. Con. Bumer
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
Use/Nature FR !REPLACE FURNACE, EIV SIGNED BY SOLAR ELECTRIC ""'debt acct
of Work
Fees: Valuation ~('~('~~$2,270.00 Plan Approval $0.00 Permit Fee Paid $44.50
Issued By: ~~1~~ `~ Date 11/10/2008
^ Permit Voided
Parcel Id # 1201870000
In the pertomtance 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 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.Q. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
HVAC 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
** 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 sach is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 1c~1~~c~
JOB ADDRESS ~\~~~ ~1 tw ~~ P~.~t-3
OWNER__ 'Tco~ ~-~l ~~
CONTRACTOR \ .~..-tea ~~- ~=,P.T~,e~i.s1 ~ C,~y...~~,,~
CHECK ®ALL APPLICABLE
U E CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental
OCT 2 9 2008
t,~ _.
~~J~ .
^Commercial ^Industrial
FUEL l~Gas ^Electric ^Solid SYSTEM ^New
^Oil ^Solar ^Other
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
HEAT LOSS ^As Approved Existing
BTU RATE ^As Per Plan ^Variable
DESCRIPTION /SCOPE OF ALL WORK BEING DC
Direct Vent
^Not Applicable
(Other Value
VALUE (Including labor and materials) $ ~~~ ,Q'~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~t~.n 'i mss` .~ .°~.
^Other
~~ ~ o~~o~
_~Nov, 7.2008, 3; 02PM~,
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Contrcotor Nnma or Homeowner's Nnme)
(Address) (Ci
tY) (5tats) (Zip Coda)
accept the responslbiliry to perform the electric work as scared below, at tfie following address;
(Address where work will be performed)
~'he nature of the work consists of: (Check One or 1)eseribe the Nature of Work)
Reconnection or new circuit for rcplacxineent Heating Pinnt and/or A/C Condenser.
Reconnection or new circuit for replacement Blectrlc Water Hoaber or power vented
wattr haattr.
Reconnection oftha Service Entrance Cable, MetorBox, alterations to aeceptacles
and lighting i`rxtures due to siding /soffit installation. No[e: New Service
Bntrance Cab1os will require a separate permit.
~_ Reconnection or. new circuit for the replacement of other penrianently wired
appliances /fixtures.
_ _- Ncw circuit for rho addition of A/C to an individual dwelling unit, including
xt9uirrci service electrical outlets, Note; ~`i''omsawners con only do their own
electric on a ,single family owner occxrpied hate, Fork on a condominium,
duplex, rental, or -rrulti-use building would require a licensed ,Eleclrica!
Contractor,
_~ Other
The value of this work is ~~„ '~
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 22 of the Oshkosh Municipal code and further verify the rcconncction /installation
w~itl be done incompliance with manufacturer and Electric code requirements.
~ip~eotro o ropwnY b(i'eeor er Homeowner
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