HomeMy WebLinkAbout0144866-HVAC (furnace) e ll) CITY OF OSHKOSH No 144866
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2311 MINERVA ST Owner JEFFREY H SCHETTL Create Date 02/10/2011
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ❑✓ Gas J Oil ❑ Electric Li Solar J Solid ',
System ❑ New 1 12I Replace
[] Other
N Forced Air U Radiant ❑ Steam J NC ❑ Vent
Electric Li Hot Water Li Suppl. Con. Burner
Chimney Type u Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss ?, ) As Approved • Existing 0 Not Applicable Value
BTU Rate 7 , ) As Per Plan O Variable 0 Other Value
Use /Nature SFR / Replace furnace. EIV signed by Koliman Electric.
of Work
I
Fees: Valuation $4,520.00 Plan Approval $0.00 Permit Fee Paid $79.00
Issued By: a Date 02/10/2011
❑ Permit Voided I Parcel Id # 1214610000
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 : - rce ea - ment restrictions of which it is not a party, if you perform the work
described in this perm' - .plication wit.• an ea- - ment, e City strongly urges the permit applicant to contact the easement
holders) and to sec y • �_,. ss . appr. - -«_- o : - _ activity.
Signature ..&_�` Date
Or MB/
_a/44_
Agent/Owner
Address 3220 BAS ' R 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 (Le. 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.
City Oshkosh
Division of Inspection Services ANNI
P.O. Box
Oshkosh, WI WI 54903-1130
4 ., joy
Phone (920) 236 -5050
Fax (920) 236 -5084 C ../HKJf
ON THE WATER
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 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) 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 \ -
JOB ADDRESS al\ ����.�
OWNER L
CONTRACTOR _ . ..1. Z 1.
CHECK ® ALL APPLICABLE
U E CATEGORY
'ngle Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
FUEL 54Gas ❑Electric ❑Solid SYSTEM ❑New lXReplace
❑Oil ❑Solar ❑Other
TYPE
Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED Iklo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B 14Direct Vent ❑Other
HEAT LOSS DAs Approved Elkxisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable riQther Value d J ) )
DESCRIPTION / SCOPE OF ALL WORK BEING DONE � � fr. 0, o ` q a -■
VALUE (Including labor and materials) $ C2)
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
02/08/2011 09:19 9202737965 KOLLMAI44 ELECTRIC PACE 01/01
FEB -B -2011 21:03 FROM :4E5LEY HEATING G 09203 235••6851 70:19222737965 P.1
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Electric Installation Verification
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Me) sr- ,55i.J t-1 Ls�-
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(Electrical Contractor Name nr Homeowner's Nine)
•
auk.. .. t_
(Address) (City ' (State) (Zip Code)
apt they responsibility to perform the electric work as stated bestow, at the following address:
• 1 . l_ •
(Addrexes wbesre work will be performed)
The nature of the work camists of (Check Onc m Describe the Nature of Work)
X.. Reconnection or tmw circuit for replaosment Heating Plant and/or A/C Condenser.
Reconnection or am circuit for replacement Electric Water Heater or power veined
water heater.
- Reconnection of the Sanwa® Entrance Cable, Meter Box, altmaetio•is *receptacles
and lighting fixtures due to sliding / soffit installation. Nate: New Service
Entrance Cables will require a separate permit.
- Reconnection or row circuit fur the replatement of other perntanendy wired
appliances / fixtures.
_ New circuit for the addition of A. C to au nutreidua1 dwelling tatit, including
required service electrical outer. Note_ Homeowners con o,nlp do their own
electric on aatnglefem ilyowwr occupied ho Work on a condondniwn,
dr'plenr, r en* or snd# use buildhig w uZd ream a Massed Electrifxd
Contractor.
Other
The value of this work is Star
hereby verify this work will be performed in. compliance with the License: reqoirements of
Section 11-22 of the Oshkosh Municipal code and farther verefy the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
ftess oft= ar Reatowner) Nam) ( )
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