HomeMy WebLinkAbout0151351 - HVAC (replace furnace and central air) C CITY OF OSHKOSH No 151351
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 855 GREENFIELD TRL Owner ALAN F/MIREYA MAKURAT Create Date 07/24/2012
Contractor WESLEY HEATING&COOLING INC Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel I✓f Gas I= Oil Li Electric U Solar Li Solid
System ❑ New I n Replace I ❑ Other
✓j Forced Air U Radiant I _J Steam a A/C I J Vent
U Electric Hot Water Suppl. Li Con.Burner
Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable I
Heat Loss 0 As Approved O Existing • Not Applicable I Value
BTU Rate O As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE GAS FURNACE AND CENTRAL AIR **debit acct
of Work
Fees: Valuati $4,490.00 Plan Approval _ $0.00 Permit Fee Paid $77.50
Issued By: Date 07/24/2012
❑ Permit Voided Parcel Id#0613830000
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 WALTER ST., STE A 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
C1111)
Division of Inspection Services
P.O.Box WI 1130
5
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of-KO/7
ON i wari,R
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
you want this processed through your account R
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
JOB ADDRESS S � e �I j= R
OWNER /) La fr, 4 a /24i 1
•
CONTRACTOR Lii,lf`?Sley
l
CHECK Q ALL APPLICABLE
usk CATEGORY
ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL gRus DElectric ❑Solid SYSTEM ❑New place
DOil ❑Solar DOther
TYPE
=breed Air DRadiant ❑SteamA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
LA r
IS CHIMNEY BEING LINED ❑No Yes -LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B iirect Vent ❑Other
HEAT LOSS DAs Approved alexisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable ❑Other Value
DE CRIPTION/SCOPE OF ALL WORK BEING DONE
-fit,t c? C4 its VL.Bloc{-- '-- t_m i-T I a 1_ /4- '
VALUE (Including labor and materials)$ (-J `J q 0 / Ut)
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07