HomeMy WebLinkAbout0134248-HVAC (furnace & a/c)CITY OF OSHKOSH No 134248
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 630 W 8TH AVE Owner CHRISTOPHER J/JESSICA L GUETZKOW Create Date 12/03/2008
Contractor WESLEY HEATING & COOLING INC Category 502 -Residential-Both Pl
an
Fuel / Gas Oil Electric Solar ^ Sofid j
System ^ New ~ ^/ Replace ~ ^ Other ~
/ Forced Air Radiant Steam / A/C Vent
i
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 - - --- --
i Other ~' Value
Use/Nature FR /REPLACE EXISTING FURNACE AND CEN TRAL AIR, EIV SIGNED BY SOLAR ELECTRIC **check #95919
of Work
Fees: Valuation $10,920.00
Issued By: (~~~
Plan Approval
$0.00
Permit Fee Paid $170.00
Date 12/03/2008
^ Permit Voided ~ Parcel Id # 0601700000
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
Agent/Owner
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 R ~ ~ ~ V E D
P.O. Box 1130 _
Oshkosh, WI 54903-1130 DEC 0 3
2008
Phorje (920) 236-5050 .
Fax (920) 236-5084 UL-:'At< I i~itlVT OF
COM(~UNITY (?EVELOPMENT
All information after bold categories must be provided.
Incomplete applications will not be processed. '
~HKC~~H
C1N THE V,.~RTcR
• Application(s) and feels} can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 128,
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
~you are a contractor participating in the Permit fee Account System and have adequate funds check here
if you want this processed through your account n
** 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) must be submitted
with the permit application. Applications submitted without an E1Y when such is required, will not be
processed for Permit Issuance and will be retarned for completion.
DATE I~~'~-Oc`~
JOB ADDRESS I h''C~ 1 ~^, 4~~-
OWNERd ~01~.~c -L ~' ~~~~~ ~~, o ~-~C...~_
CONTRACTOR ~ r
l
CHECK Q ALL APPLICABLE
USE CATEGORY
l~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^lndustrial
FUEL ('Gas ^Electric ^Solid SYSTEM ^New f~2eplace
^ it ^Solar ^Other
TYPE
forced Air ^Radiant ^Steam I;1~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINEDo Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per t e BT 's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B j~Direct Vent ^Other
HEAT LOSS ^As Approved ~E.xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable G~Other Value
DESCRIPTION i SCOPE OF ALL WORK l;EING DONE~~-
VALUE (Including labor and materials) $
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 4~{-i ~~ ~~~ ~~-,»~,
o~/o~
Ul. r - 1~. '-c-. .. ~,. Sri _ _ .i c_ rl':t-9'1' F•{c'a~tr'i ~J~( iP{~;,i ~.:'~~~ L.~jS-~.351 1 ~ ~~~'~ f4.~
4~Y ai6ahkoch
Atvi:k+r of I+tsp6t~fmc Str+rtcas
215 Church Avcaua
PO Bcoc f 1 ~D
oat~~ ws sava~-~txt
ditlea 910.27btiSAJ6
r Froc 970'2?6.SdR4
~~ect~ic I>ost~il~t~gn Veri~earial~
A (YY ~i) P t~ir~j ~. ll ~ • ~
(Electrical Contractor Name or I IoztarownEr's Name)
(State) (tip Code)
accept the ronsibility to perform the electric work as stated below, at tfr~ following address;
(Addzess whcxe work wi}1 E,e perfonrned~
The nature of the work cottai&LS of (cheek One or L?eacriire the Nature of Work)
~_ Reconnection or sew circuit for replacetnent Heating Plazrt andfor A1C Cond~cnscr.
Reconnection or new cir-cult for repEaeeauent Electrie 1~Vatcr Hemmer $r ~swer vei~ed
Water heater.
R.ecannection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting lzxtures due to siding / soffit installation. Nvtar: l~iew Service
Entrance Cables will require a separate permit.
_-__ Reconnection or new circuit for the replacement of other ,perrnnnently wired
appliances /fixtures.
New circuit fat- the addition cif AJC to an indiufdual dwelling ttl2it, utcluding
required service eleatrioal outlets. Noce: Hameow»ers can only do their awrz
el~ctrlc an a slrtg~le,famfly droner dccupred Tsom~. Work an a ctndaminium,
clrgnlcx, rental, or multe-arse liuitding would require a lfcerrsed ~'lecrrtcal
~antractr~r.
Uthcr
'1'Ize value of this work iS $ ~~~ , U~
Thereby verify this work wi be perfc~rxrted in cozttplian.~c with the Lic~snae reyuire~.zents~ of
Scckior~ 11-22 of the Qshkosh Municipal cod® and fttrti'1€r verify the re~.onnection /installation
.-J1! b~done in cornplianc~ ~~~#s ~anufacturcr and Et^ct~c Cade rcquirement~.
Ofl'ce~' or Hvtneowner) (Print Name}
~(~ ~ ~~~
(Date}
P, ;:
07r'~"