HomeMy WebLinkAbout0144623-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 144623
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 305 E IRVING AVE Owner JON A ANDERSON Create Date 01/12/2011
Contractor WESLEY HEATING & COOLING INC Category 502 - Residential -Both Plan
Fuel J Gas Li Oil Li Electric Li Solar Li Solid
System n New 121 Replace Other
Forced Air u Radiant LJ Steam a NC J Vent
Electric Li Hot Water Suppl. Li Con. Burner
Chimney Type j 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 0 Variable • Other Value
Use /Nature SFR / REPLACE FURNACE AND A/C, EIV SIGNED BY KOLLMANN ELECTRIC * *check #100358
of Work
Fees: Valuation $8,136.00 Plan Approval $0.00 Permit Fee Paid $133.00
Issued By:( Date 01/12/2011
Permit Voided Parcel Id # 0403720000
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.
•
0 •
JAN 12 2011
City of Oshkosh
�" ' c
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 T
Fax (920) 236 -5084 01/112071'
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 • r c r , r' for • • n • 1 he P • . nt S • • , •v ade• . h r
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 retuned for completion.
DATE 1A, - c\ - \f
JOB ADDRESS 'C, T?.Y . t s
OWNER kSgat.4,
CONTRACTOR \ :y Z�T 1- a��- p.►� \1�...- CC1[`► t Ay(
CHECK ® ALL APPLICABLE
U E CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUELras DElectric ❑Solid SYSTEM ONew Ci
00i1 ❑Solar ❑Other
TYPE
titForced Air ❑Radiant ❑Steam Ckt/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED iiNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the 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 Mariable er Value
•
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ '\711.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) V44-S,mrits�'�A •
07/07
12/21/2816 68 :58 9262737965 ICOLLM IV ELECTRIC PAGE 92/92
CEC 22 -2,1a 83s FROMet.,EY HEATING C'M) 235 -E651 mg 192027379E5 P.3
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accept the responsibility to perform the electric work as stated below, at the hollowing Wins=
(Addreaawb a walk be •
The oboe of the work ounebts ao (Cheek Ore or Desoto the Nature ofWorlk)
_AL Reconnection or sew deceit thrRepko:maot Ne ti4 Pint and/or A/C Condenser.
- Rvcaonecdim or new °Waittbrrepisl SaatBbatrio Wider Hewer or power vested
water heater.
Reeaooeodan ofthe tservioe Srrlrsoce abis Nair Bay alsr+ratJoor to eewptoske
and lighting fbth ros tire b sides f soffit logalletion. Nola New Souks
Pavane Cables will make asepnate permit.
__. Reoosraecdo®ar circuit tbrthe mimeo of other psamaososl rwired
appliances / lblttnee.
- New Quitter the addidoa of A lC at m iasihidamt dbmi ke isobars
required service elaetried oAbb. Nom: Iforoo senors ems aaly d® emir own
eket iC griskfamily anger aaaapwdhome. Work ow
Adak rirnlaf. or Iropdt6res briidfi wasidrrquie aItont dZkca►iaci
Contractor:
Otliu
4-7 reel
The who of ibis work. is;
1 hewby vent/ MMa work wriii be perforated in eampliewie with he Liabaee requamsaab of
Section 11-22 of the Oshkosh Meakipal code sod farther verify the reconseetiounretalletits
will be done is compliance with maoafiatioar sad Rim& cods requirements.
ft/WM Mows tlrieooeee) MAO
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