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Home My WebLink About0144624-HVAC (furnace) 10 CITY OF OSHKOSH No 144624 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 143 W 19TH AVE Owner SUSAN K REINHARDT Create Date 01/12/2011 Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan Fuel [ ✓] Gas U Oil ❑ Electric L Solar ❑ Solid System ❑ New I 121 Replace ❑ Other j Forced Air ❑ Radiant ❑ Steam u NC u Vent ❑ Electric Hot Water U Suppl. ❑ Con. Burner Chimney Type ❑ Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved • Existing 0 Not Applicable Value BTU Rate fl As Per Plan 0 Variable • Other Value 70,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY KOLLMANN ELECTRIC * *check #100427 of Work Fees: Valuation \ $4,190.00 Plan Approval $0.00 Permit Fee Paid $73.00 Issued By: Date 01/12/2011 ❑ Permit Voided Parcel Id # 1402000000 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. S ' JAN 12 201i City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236-5084 ON 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 pemiit(s) will result in fees being doubled or $100.00 phis 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 fl ** 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 lA•c - \C) JOB ADDRESS \ \q. j ms") OWNER ti`f,o3y ..�.��r�c.s�d CONTRACTOR Zoe ah k��d.Y. CHECK ® ALL APPLICABLE USE CATEGORY Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial FUEL t Gas ❑Electric ❑Solid SYSTEM DNew Replace Oil ❑Solar DOther TYPE Forced Air ❑Radiant ❑Steam DA/C DVent ❑Electric ❑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 IXDirect Vent ❑Other HEAT LOSS DAs Approved *Existin DNot Applicable BTU RATE DAs Per Plan DVariable clipther Value ..`"‘Q ,C DESCRIPTION / SCOPE OF ALL WORK BEING s , VALUE (Including labor and materials) $ 1 ---\. \q . ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) , "4,\N 07/07 01/09/2011 10:04 9202737965 440LLMAhN ELECTRIC PAGE 02/82 • JHY - u -call U2:05 FROM:lESLEY HEATING CMG) 235 -61951 TQe19202737965 ft.2 • Mail v waan Avow Maim �1iC7pdAR POS. elaf 011omb *1 $003.e00 :Nlfj; Electric 1actafladom Verification 1(We:) �'.�•e -�� - •. :� (Electrical Con or Name or Homeowner's Name) at% ra t (Adam) (City) r (State) {tip Cods) accept the responsibility to perform the electric work as steeled below, at the following address: (Address whets work will be performed) They slaters of the work consists of (Cheek Ont or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Phut mdlor AIC Condenser. - Reconnection or new circuit for replacement Electric Water Heater or power vented w+etegr heater. - Reconnection of the Service Entrance Cable, Meter Boa, alienations to race pteeclsi and lighlh g fora due to siding / soffit installation. Nots. New Service Entrance Cables will require a septa* permit - Reconnection or new circuit for the rynemnent of otter permanently wind applieeences / famine. New circuit for the addition of A/C to an bidtvidaat dwelling uni4 including required emits elechfcai outlets. Note: Homeowners soiree only do ow* electrk on a single faenmiy owner oaraepfedbow. Work on a condbminim duplex, reseal, are multi -um building world requires a IicenaedBlecirlcal Con Other The value oft b worts IS $ � I hereby verify this work will be performed in compliance with the License requirements of Section 11 -22 of the Oslo omb Municipal nude and further veer the reconnection / installation will be done in compliers* with manufacturer and Electric code requirements. (Amor Company Ofcerarttuea►rmr) ( N ) ONO e.