HomeMy WebLinkAbout0143721-HVAC (furnace) l CITY OF OSHKOSH No 143721
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 335 OLSON AVE Owner DALE R/SANDRA M POMMERENING Create Date 10/19/2010
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas U Oil U Electric U Solar I f Solid
System n New 0 Replace n Other
u Forced Air U Radiant u Steam u NC _I Vent
1 1 Electric Li Hot Water U Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss j As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 70,000
Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY KOLLMANN ELECTRIC "check #99967
of Work
Fees: Valuation $4,144.00 Plan Approval $0.00 Permit Fee Paid $73.00
Issued By:s.--- Date 10/19/2010
0 Permit Voided Parcel Id # 1250090000
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.
$7.
u "k:., .0 ?ton WY
City of Oshkosh U C f 1 9 2010
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130 Dt:PARTMENT OF
Phone (920) 236 -5050 COMMUNITY DEVELOPME
Fax (920) 236 -5084 INSPECTION SERVICES DI . 1 en f
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
If 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 It
** 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 EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE \C1- C CI)
JOB ADDRESS Z."
OWNER 1 >c j. , „ a.se
CONTRACTOR \ , y �
CHECK ® ALL. APPLICABLE
USE CATEGORY
1Ningie Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL Nras ❑Electric ❑Solid SYSTEM ❑New Ikteplace
❑Oil ❑Solar DOther
TYPE
*treed Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING o ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B Ikirect Vent ❑Other
HEAT LOSS DAs Approved 1542cisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable Qther Value '‘
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
o
VALUE (Including labor and materials) $ I A \AA .C.1
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) Aa� 1 Q , , a k14i ie >
07/07
•
. .. __ - ..�., • •_••44 V. J C42 IV•i 1 •
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Electric Installation 'Verification
I (Wc) t'1f fi 'rs'ts- '� �l.M
(Elects Cortrat $or Rime or Homeowner's lac)
.� La►. . .. ._ •�w
(Aeon) ?. (fie) ! Code)
*wept the n spaesIbiky re pesI t * the electric nark as stated below, at the follo g
(Address work will be patented)
The naives oftbc week ocewists oe (Chock One or Describe the Nature of Work)
. ��. Reeaanectkis or now Obaait tar emplacement Floating Plant and/or MC C'+OIrdemer.
- R.ccamectios or now ciretdt for rapboomatt Electric Water Heeler or power vented
wear heater.
..�„_ Reconnection of d1e Satire Entrants Cable, Meier Boa, alterations to receptacles
end lightbot $clews dee to siding / w milli■ son. Note: New Service
SWUM Cables will require a se erete permit
- Reconnection or new oitoldt for the ra phioeme t of other pennene rtly wiled
appliances / &hues.
New Circuit far the addle of Alt to an asrdvld od threats sink isolndine
regalaod service electrical outlets. Note: Ifeerrownem caw oats do *from
efsra ne on o single family avow oce pledhorn . Work art o cwasiaarbebim,
doeletr, rented, or multi babe og trosdd a Boomed Ifiectrical
' Common
. Other
The value of thb work is $ Z5
1 hereby verily this work will be performed In compliance with the License requirements of
Section 11.22 ado trahioosh btuelaipal code and Sather corli)t the reconnection / hatalletion
will be done in cwnpiimoe with manutho4dar and Electric coda reciniretneats.
JP--"r—•r /tL 1 6 1 . . . . / C 1
(
tnaeraly Calmarlisarolraar) Nees) (1>w)
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