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HomeMy WebLinkAbout0144622-HVAC (furnace) 0 CITY OF OSHKOSH No 144622 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1904 FAIRVIEW ST Owner CYNTHIA S HARNISH Create Date 01/12/2011 Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan Fuel ✓J Gas U Oil U Electric Li Solar L Solid System [] New 1 121 Replace 0 Other i U Forced Air LJ Radiant _J Steam J NC U Vent U Electric LJ Hot Water LJ Suppl. _ J Con. Burner Chimney Type 0 Chimney A O Chimney B • Direct Vent 0 Not Applicable Heat Loss 7 ,, ) As Approved • Existing 0 Not Applicable Value BTU Rate K) As Per Plan 0 Variable • Other Value 70,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY KOLLMANN ELECTRIC * *check #100358 of Work Fees: Valuation $3,962.00 Plan Approval $0.00 Permit Fee Paid $70.00 es. Issued By: cf5nlek Date 01/12/2011 El Permit Voided Parcel Id # 1514814800 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. Zo to ize JAN 12 201i City of Oshkosh Division of Inspection Services P.O. Box 1130 l'��'. i � Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 07/1114 Fax (920) 236-5084 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 Jf 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 n ** 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) mast 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 1 -n7\- w', JOB ADDRESS \Q\QP v ,v OWNER QN \-\ CONTRACTOR - _. = , , CHECK EI ALL APPLICABLE USE CATEGORY S ingle Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial FUEL 15(Gas ❑Electric DSolid SYSTEM DNew VtReplace 0011 ❑Solar DOther TYPE Vkorced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric DHot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B 04Direct Vent DOther HEAT LOSS DAs Approved KExisting ❑Not Applicable BTU RATE DAs Per Plan ❑Variable Other Value "riz. DESCRIPTION / SCOPE OF ALL WORK BEING DONE --- Pya ,F 1 ©sue +1- ak:.S - 1 VALUE (Including labor and materials) $ t 1 (p a ;. 00 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) \ j ,2s'R 07/07 12/21/2010 88:58 9202737965 KOLLMANN ELECTRIC PAGE 81/02 DEC -22 -218 04333 FR111:14ML.EY HEATING C928) e35 -6951 TO ;15202737965 4e aeonawir Dhiem oragesasestiv rGloslll. Electric Installation Verification (Electrical Contractor Nana or Homeowner's Name) (Address) (City) ($ate) Wm Cede) accept the responsibility to perform the electric hark as meted below, at the Mowing adrifter (Address where work will be performed) The nature of the work consists of (Check One or Describe **Nature Nature ofWork) ,,.Z___ Reconnection or new chit for replacement Hem Pled sedlor A/C Condenser. - Rcctection or new circuit for Murat Electric water Herter or power vented water heater. - Reoaraeect on efthe Service Entrance Cable, Meter flood, aliorsaaons b receptvoles and lighting forma due to siding / soffit installation. Note: New Service Entrance Cables wilt i eguire a separate permit. Reconnection or new circuit for the replacement of other permanently wiled appliances / fixt om - New circuit for the addition ofAAC to an hartvldewt dwelling including required service electrical seders. Nee: Hostsorrarrs cart v y do *sir own electric anasingle family canter o 1rra& Wort an s d.uq k re►iml, or multi-ute [mating would req it a licwawd Elsrtrlc ' Contractor, Other The value of this work is . I hereby vein this work will be performed in compliance with the License requkauests of Section 11 of the Oshkosh Municipal coda and nether verify the reconnection t installation will be done in compliauas with manulbernrer and Elect& code requirements. , y .,� ,�r,. -� 'J-C� r A/ Loy /07 -0021.- (timuerafearipasy MaltwHortamw) (Thrttiewe) (N) mm