HomeMy WebLinkAbout0143515-HVAC (furnace & a/c) CD CITY OF OSHKOSH No 143515
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 314 W NEW YORK AVE Owner TIMOTHY UK M FAHLEY Create Date 10/07/2010
Contractor WESLEY HEATING & COOLING INC Category 502 - Residential -Both Plan
Fuel o Gas 0 Oil i ❑ Electric j ❑ Solar ❑ Solid
System ❑ New Q Replace i ❑ Other
0 Forced Air ❑ Radiant i ❑ Steam Q NC ❑ Vent
❑ Electric Hot Water Q Su ppl El Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable ' Value
BTU Rate 0 As Per Plan Other
� Variable - - -- - - -- • -__ - -- --' Value 70,000
Use /Nature SFR / REPLACE EXISTING FURNACE & NC, EIV SIGNED BY KOLLMANN ELECTRIC * *check #99849
of Work
Fees: Valuation $8,549.00 Plan Approval $0.00 Permit Fee Paid $139.00
Issued By: Date 10/07/2010
❑ Permit Voided ' Parcel Id # 1500290000
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 (Le. 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
#110111114111.9 4,
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050
Fax (920) 236 -5084 STI K•31
HVAC PERMIT A - PLICATION
All information after bold catego 'es must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 215 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permi , (s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
ff you are a contractor participating in the Permit fee Acc s unt System and have adequate funds. check here
if you want this processed through your account ri
-- Advisory - For applicable projects, an Electrical Installati n Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be , oomed by the homeowner) must be submitted
with the permit application. Applications submitted withou an EIV when such is required, will not be
processed for Permit Issuance and will be returned for comp 'on.
DATE Q- —\C1
JOB ADDRESS Jy
OWNER-
■
CONTRACTOR _ , ,• 4 . ti•�
CHECK ® ALL APPLICABLE
USE CATEGORY
IiitSingle Family ❑Duplex ❑Multi - Family ❑Rem 1 ❑Commercial ❑Industrial
FUEL &Gas ❑Electric ❑Solid SYS EM ❑New (Replace
❑Oil ❑Solar ❑Other
TYPE
Forced Air ❑Radiant ❑Steam A/C ❑Vent ❑Ele c ❑Hot Water ❑Suppl. Mon. Burner
IS CHIMNEY BEING LINED tiro ❑Yes LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per die BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B j4Direct Vent ❑Other
HEAT LOSS DAs Approved Jl xisting ONot Applicable R
BTU RATE DAs Per Plan ❑Variable Ztier Value ` ,
DESCRIPTION / SCOPE OF ALL WORK BEING DONE n , � �, g • ;
VALUE (Including labor and materials) $ •
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) yr, A'� Z3VILt 3tt
07/07
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Fs 920-2144104
Electric Installation verification
1(we} _.,____yLcaa,
(Eleariad Contractor None or Homeowner's Name)
.e:CA 4 a►___ -•._' ei.r s., Lux
(A ) , tom (Slote) CAP Code}
a000ptthe responebility to peace the electric work at steed belay, at the following address:
... .. . , -
(Address where work will • At . _ ,
The naeutc of the work consists of (Ow One or Describe the Nature of Work)
_1,,, Reconnection or new cirarft for replecasno t Hating Plant =Mr AIC Condenser.
Reconnection or new circuit 16r repiaoa neat Bleattic Water Hauer or power noted
water >
- Reconnection oftfie Sartre Eeatearoe Cable, Ma r Bat, attention: to receptacles
and Wins Sanwa due to siding i soffit inetalladoe. Now New Service
Entrance Cables will rwpnint a acme* permit.
- Reoottaection or new oiearit thr the miaowed dottier pextea ieody wired
appliances ! fixtures.
.__,_ New ohvtrit for the addition of A/ C to as Onfividad dweli g unit, inotedne
required *erica eleamriesrl outlets. Now Hosraow nsrs can only do their nwr,
electric onaa ieJia &ownereoeapkdhawn. Work owaI,
duplex, Yenta or ondetare balding *aid r pe s a Thawed Electrkad
- Other
The value adds wow
1 hereby v' • win be perfumed is corr os • , the License r naeeents of
Section 11-23 of • , Muniaipsi code and Audio the rsm+ectian ! indention
will be done in , • . with raanufecturer sand Electric " . requirements.
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