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Home My WebLink About0144625-HVAC (furnace) Il CITY OF OSHKOSH No 144625 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 310 W 14TH AVE Owner NICOLE REINKE Create Date 01/12/2011 Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan Fuel L✓ Gas I Oil Li Electric ❑ Solar I J Solid System ❑ New 0 Replace 1 ❑ Other U Forced Air ❑ Radiant u Steam _J A/C ❑ Vent Electric 1 Hot Water 1 Li Suppl. J Con. Burner Chimney Type n Chimney A () Chimney B • Direct Vent 0 Not Applicable Heat Loss As Approved • Existing 0 Not Applicable Value BTU Rate K ) As Per Plan 0 Variable • Other Value Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY KOLLMANN ELECTRIC * *check #100017 of Work Fees: Valuation � $3,629.00 Plan Approval $0.00 Permit Fee Paid $65.50 Issued By: 3 r y�U Date 01/12/2011 ❑ Permit Voided I Parcel Id # 0904340000 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. 3' d 3 . City of Oshkosh JAN 12 2x11 ® . Division of Inspection Services P.O. Box 1130 -, Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 c:, Fax (920) 236 -5084 .M I.T- 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 Account System and have adequate funds. check here if you want this processed 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE t -T\ - \, JOB ADDRESS e w) \ve. r OWNER j . is c-, 5 ( ... sc -Ac .. , CONTRACTOR . . ..c 1. . ,.0. -t- %t\ CHECK ® ALL APPLICABLE USE CATEGORY titSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL kGas ❑Electric ❑Solid SYSTEM ❑New kReplace ❑Oil ❑Solar ❑Other TXPE Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED No ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per a BTU's being vented. • CHIMNEY TYPE ❑Chimney A ❑Chimney B Direct Vent ❑Other HEAT LOSS DAs Approved Existing of Applicable BTU RATE DAs Per Plan ❑Variable Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE e k ) VALUE (Including labor and materials) $ ,. :■ck , Csr.... ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 1 ; � 1.A IAN %. j 11S_. 07/07 01/09/2811 10:84 9282737965 KOLLMA1+1 ELECTRIC PAGE 81/02 am - 0021 nrC:gb nirrinESLEy HEATING L9r20) 235 4951 TO: 1 37965 P.3 ;r auA..ea 7011001130 07J 1 ,1 1 4, 'MA; 04 Electric Installation Verification (Electrical Contactor Name or Hameowads Name) c (Address) (City) (State) (Zp Cam) accept the responsibility to perform the electric work as stated below, at the following addle= ( Address whets work will be performed) The nature of the work consists oft (('heck One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or ANC Condenser. _.. Scconacction or new circuit for replacement Eksfiric Water Heater or power vented water beater. Reconnection oftho Service Entrance CAN*, Wit Box, alterations to receptacles and lighting fndnrei due to siding! soffit installation. Note: New Service Entrance Cables will require a wpm* penult. Recoew.ciion or now quit fair the replacement of door plumper* wired appliances / fakes. _ Now circuit for the addition of ,ANC to an individual dwelling unit, including requited service electrical outlets. Nate: flooreowners can only do their own electric on a siiegk family owner occgpkd home. Work ow a costkaainiaas, duplex, rem or aadl! -use buildbig y►+oreld requp,c a licensed F.latricad Contractor, Other .�.. The value of this work k S 4 thereby verify this work will be performed in compliance with the Limes requirements of Section 11-22 of the Oshkosh Monicipel code and anther vetr* the reconnection / iratbedon will be done in compliance with insnufectu er end Electric code requirements. culpPmlr olRaat ar kao,aeo0re.r) (Print Nom) (Aue) 0707