HomeMy WebLinkAbout0143516-HVAC (furnace) 0 CITY OF OSHKOSH No 143516
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1690 CHATHAM DR Owner BARRON E DAVIDSON /JILL ROTHE Create Date 10/07/2010
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas Oil 0 Electric 0 Solar E Solid ,
System ❑ New 0 Replace El Other 1
0 Forced Air 0 Radiant Steam _J A/C [] Vent
Electric [] Hot Water Li Suppl. ECon. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable 1
Heat Loss 0 As Approved • Existing G Not Applicable J Value
BTU Rate 0 As Per Plan O Variable - Other A Value 70,000
Use /Nature SFR / REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMANN ELECTRIC * *check #99849
of Work
Fees: Valuation $3,820.00 Plan Approval $0.00 Permit Fee Paid $68.50
Issued By: C 11 ^ 1 J Date 10/07/2010
0 Permit Voided J Parcel Id # 1318400000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 3220 BASLER LN OSHKOSH WI 54901 -0 Telephone Number 920 - 235 -6951
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
- �vr��3c � 1�0$ • �G
City of Oshkosh =?
Division of Inspection Services -
P.O. Box 1 130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 ! W
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 permits) 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 ee Account System and have adequate funds. check here
if you want this nrocessed through your account
** 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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE tCl-
JOB ADDRESS kV_st\.Q C /AAC\4
OWNER
CONTRACTOR - — = ` , . } -
CHECK 12 ALL APPLICABLE
USE CATEGORY
'(Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL XGas ❑Electric ❑Solid SYSTEM ❑New it Replace
❑Oil ❑Solar ❑Other
TYPE
Forced Air [Radiant ❑Steam DA/C [Went DElectric [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 Xpirect Vent ❑Other
HEAT LOSS DAs Approved 'Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable Other Value [(ice`)
DESCRIPTION / SCOPE OF ALL WORK BEING DONE Pl. cam-- , 4 � . i
O'K's
VALUE (Including labor and materials) $ rQ
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 1 ter t1f h1-1L.S -.
07/07
I
215 a s..r,.
•ri :;�•T
Clam* Wi SOW ide
Meade Iustittion Verification
1(We) .
(EJeotriosi Coe ac or New er Homeowner's Naga)
(Address) (.,. ) a (St (.710
)
accept the responsibility to redone die elastic work es staled below, at the £Ottowiug addnsnc
(Address where work be peegaeimed)
The mature ofthe work consists at (Cheek One or ' , , . the Nature of Work)
.1 Reconnection or new chock for - . - , - Beating Pilot nedfer A/C Condenser.
.__.
Reconnection or new cistadt for - Mario IVsler Heater or power vraroid
wader Warty.
�.
Reconnection oftbe Service Entrance Meter Boor. alterations to tosepteolea
and lighting fitdwes doe to siding 1 Lstelstion. Nome: New Service
Entrance Cables will reqane a - , - pen,
Reetemection or new circuit tribe - _ , _. , , of ether permanently YAM
indiums;/ fixtures.
Now drctdt ibr the addition of A/C to , indirkiral dwelling ionic, inclodiog
required service elecirice makes. ', .: lionsomors oast oeiy do b awn
electric an aangle foxily °miff , . } , . , home Wot*arta condominium.
or loodgkooe biat a license dElectrical
Other
a
'ilte value of this woelc. s $ • 7 •
I hereby vrrilr this work will he perfixmed in - , - whir the Liman regrrirmnents of
Section 11-22 of di Osbioosit Municipal coda and - vent the not ion 1 indelbtion
wm be done in compliance with der and :' - , - code requirtenents•
'" i .,...�. JC , /Cf 4r... 10 - 7 -
ralrt�re�nscre ,.) Oat)