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HomeMy WebLinkAbout0134249-HVAC (furnace)/~"~ CITY OF OSHKOSH No 134249 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATE R Job Address 929 KANSAS ST Owner MATTHEW C BROCK Create Date 12/03/2008 Contractor WESLEY HEATING ~ COOLING INC Category 500 -Residential-Heatin~_8~ Ventilatin~c __ Plan __ _ Fuel / Gas Oil ~Tectric Solar j 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 Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value 70,000 Use/Nature of Work >FR /REPLACE FURNACE, EIV SIGNED BY Fees: Valuation $4,881.00 Plan Approval $0.00 Permit Fee Paid $83.50 Issued By: ~~~~- Date 12/03/2008 ^ Permit Voided ~ Parcel Id # 1305400000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 3220 BASLER LN OSHKOSH WI 54901 -0 Telephone Number 920-235-6951 To schedule inspections please call the Inspection Request line at 238-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. ~'~Oshlz~sh i? ~ ~n of Inspc~ ioi: Srnicc< ~. I,uz 1 I ;0 ~ ~~!` ~; 13u : .~~n~. {97_0) 236-`,(ti=~~;~ !~;:: ; ~,,t,, 73 f_sos~t ~~~HKC:~1 N HVAC PERMIT ~PPLICATf~~ ~ ~~ F~ ~~D .All information after bold care~ories must he provide.'. Incomplete applications wilE clot be processed. ~EC ~ 3 Z008 DEPARI`ME T • %lpplication(s) ~~nd fee(s) can be brought to City Hall, Room 205 or mailed to 1~6~@~r~~ ~ ~ E3ox 1 128, C`shkosh WI Sd903-1 128. Commencing work without permit(s) will result$~I~E~'CI©~g~' ~'~R~VIS ONplus the normal permit fie, which ever is greater. olz Jj_,uri are a co~~(rcrctn~arlicipating in the !'ereeert fee .(ccuuee! Shs(en~~ cn -! ;rare__r~lec~r~a.re rn~ts, check l~er~> ~~ r~~u wa1~l [hi,~r_oc used Through voter accc~uerl n ** Advisory -For applicable projects, an Electrical Installation Verification (ETV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the lsomeowner) must 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. UA'CE ~ ~ ` ~`t OL'~. ' 3013 ADDRESS~~__- a~ ~~ ~- OWNER',L~,~~ t k ~ ~~S~a~ -- ('ONTRACTOR~,~~ ~ t ,. ,~ , __ _ CFEECK 0 ALL AI'PLIC.4I3LE ESF: CATEGORY [Single Family ^Uuhlex ^Multi-Family ^Rental ^Comm~~rcial ^lnd~istrial FEEL Gas ^Electric ^Solid SYSTEM ^Ne~~, Replace Oil ^Solar ^f)ther .l, ~, 1, l_ ~k~orred Air ^Raeiiant ^Stcam ^A/C ^Vent ^[:lectric ^E-[ot w~llCr ^~uppl. ^Con. Burner IS CIiIMNEY Bi;l\G L[h'ED f,~No ^Yes - LfNLR S17[:_- _ & MANt I~:ACII ~KER '~~,ne- :AII chimneys shall he sized per the BTU's being rented. CElii\iNEY'I'YYE? (~Chinu,ev A H l ~,~"I' LOSS ;_=-~y ; :i ,;,roved '3"T~E I IZATF, ~;A~ .';.r i'lan #)EtiCRIPTION %SC'OE't t)E aE,L W . -.z ~ ^Chimnev L3 ~Il~irect Vent C_~ )riper j~Esistin: C'~ot ApplicaLle ^Variablc C,~Uther Value __~~ ,~- ORK BE:INC Ut)~E_ 1 c~~\~c~ ~ _ _.~ ~, ~ ~_~~~-~~ V:~E.L E (lnduding tabor and materials) $~~\=<~~: - - << ~. E~;LEC~~('RICAL CON3~R:~t'~(~t)R (for projects not reyuirin~; an F!t' Eurm) -~~Ct. ~,_~~n~`,_at~~ g -, - - .~r~.wr=_~tt N rig .P~r.~ r„tiG~7 ~`::;u..~~3v1 i]~ J+`~~;t:;y ~.nstir,;~~ ~ 83, gp ~;~ ~~~ rhviwonofta~aiax5trvicw 2t3 G7wreh A.o»uo PQ 9na f l30 Unpkoshwt ~i9o3-~f9a a~~ pm.sab.wstr a1+ rd, r Fax ~10.136,50E4 Electric Zmstalistian Velritfi+catilon t (We) (Electrical Contactor Name or Homeowner's Name} (Address) (City) {State) (Zip code) aeG~cpt the responsibility to perform the electric work as stated below, at the following address: ~-~ Address whe -"'~' cc work will be performed) ~'he tmturE of the work consists ot~ (Check (~:n~e or Describe the Nature t~f Work) ~ Reconnection or new rircait for replacement Treating Alant and/or A.IC Condenser. ..~ Reconnection or new circuit for replacerraent Electric Water Heater or power ventCd water heater. Recvnnecteo~ of the Serrrice Entrance Cable, >~,etcr Box, alterations to receptacles and lighting ~~cbures due to a'sding I soffit installation. Notee,: iVdw SecviCe Entrance Cables wi[( require a separal~ permit_ Reconnection or new circuit far the;eplacemettt of other permanently wired ttppliances / t}~tttres. ~, l~ew circuit far the addition of A!C to an i~dtvidual clrovedli~rg unit, ixtcluding rocluired service electrical outl~s. 1Vate: Homeowners z~ar+ only do their awn electric on Q single~umily owner occupied Iwme. GVork on c~ cattdvrrrirtFum, duplex, t'e1?tal, pr multi-ua~e b~tilding wpz~ld require a licensed Electrical Cantractnr. Other The value ofthis work is $ ~~~ I hereby verify this work will be performed in compl;r:nee with the t.icense rec}~~rements of Section 1.1-22 of line C}s}tkosh Municipal code and further verify the reconnection_ !installation .will be done in cornplianc;, with manufacturer and Electric code requirements. 9 {Si~$ntttssnc of,..ornpany Oi~kcr or Homoownr~) ~ (Prim Name) ~~~} Q7l0? F._