HomeMy WebLinkAbout0146412-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 146412
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1525 MARICOPA DR Owner JOSEPH L DREXLER Create Date 06/17/2011
Contractor WESLEY HEATING & COOLING INC Category 501 - Residential -Air Conditioning Plan
Inspector Nicole Krahn
Fuel u Gas LJ Oil LJ Electric I Solar L Solid
System LJ New 0 Replace Other
H Forced Air u Radiant Li Steam u A/C u Vent
Electric U Hot Water 1 Suppl. L Con. Burner
Chimney Type p Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan • Variable 0 Other Value
Use /Nature SFR / REPLACE FURNACE AND A/C, EIV SIGNED BY KOLLMANN ELECTRIC * *debit acct
of Work
Fees: Valuation $8,810.00 Plan Approval $0.00 Permit Fee Paid $143.50
Issued By: JT ' s 1 Date 06/17/2011
❑ Permit Voided Parcel Id # 1319310000
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.
City of Oshkosh 1 I
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 5 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 c1 1 /�
HK JJH
ON THE WATFR
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
JOB ADDRESS 1 S S rIN co A
OWNER Cj —
CONTRACTOR 1.
CHECK Ed ALL APPLICABLE
AZ CATEGORY
• gle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL .gitlas ❑Electric ❑Solid SYSTEM ❑New 1Weplace
❑Oil ❑Solar ❑Other
TOPE
orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINEDio ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ttl)irect Vent ❑Other
HEAT LOSS DAs Approved il$xisting ❑Not Applicable
BTU RATE DAs Per Plan ariable ❑Other Value
DESCRIPTION / SCOPE OF ALL WOR BEING DONE
2 iv ct c - 1 L _ 12_ Lc �-c�—
VALUE (Including labor and materials) $,( t" 0
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
(-----
Electric Installation Verification
,---/
ri,,,r1 ,.,,„, /..,'" - 7 / 7
1 (We) l't //' 7 i _ _ -- - - 'Ll .-- - L ""
(Electrical Contractor Name Or Homeowner's Name)
e",?
',,ifi b .‘ t i / i : i /io.i/ i' t
. _
-(Address) reiiiYt (State) (Zip Code)
accept the responsibility to perform the electric work es stated below, at the fiallowing address:
(Address where Work will be performed)
'me nature of the work consists of: (Check One or Describe the Nature of Work)
ii Recomiection or new circuit for rep/act:meta Heating Plant ardor AIC Condenser,
Reconnection or new circuit for replocement Electric Water lieater or power vented
water heater.
_ Reconnection of the Service Entrance Cable. Meter Bois, alterations to receptacles
and lighting fixtures clue to skiing / soffit installation. Note: New Service
Entrance Ciahicis - Mil moiiire a 5C0arate permit.
Recomeraion or iscaii cirni tit iior thi—ini-orininant °I/other nermanei)tiv IV' red
appliances I fixtures,
Ne.iiv circuit for the addition of AiiC to on Miliviertial 11 ft unit, ;ncloding
required service ciectricni outlets. 'rote: Homeowner) 100 (111 do their own
electric 01; 11 single fitinrili: owoor 001'ivieti home. Work. oh 0 condominium,
thipkix. renter'. or 001 00. building wo,:til require a ik?osed k.7eetr1:oi
f."on.h0.0.0or.
..,...„ , .--
The value ()fakir, work is 5
1 hereby vcidrii Eliis work Will he performed in compliance with the License requirements of
Section 1 I -22 of the Oshkosh Municipal code and further verify the reconnection I installation
wiii he done M compliance with inanufacturer and L lett r lc code requirements,
./ezie)nir (
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