HomeMy WebLinkAbout0151350 - HVAC (replace central air) CITY OF OSHKOSH No 151350
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1302 W 5TH AVE Owner BEVERLY J ROTHENBACH Create Date 07/24/2012
Contractor WESLEY HEATING&COOLING INC Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel ✓j Gas Oil _ U Electric Li Solar j Solid
System ❑ New 7] Replace [j Other
J Forced Air U Radiant J Steam ✓j A/C _J Vent
Electric I Hot Water Li Suppl. I I Con. Burner
Chimney Type O Chimney A O Chimney B • Direct Vent O Not Applicable
Heat Loss p As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE CENTRAL AIR SYSTEM **debit acct
of Work
Fees: Valuation 39.00 Plan Approval $0.00 Permit Fee Paid $62.50
Issued By: c Date 07/24/2012
Permit Voided Parcel Id#0610520000
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
Division of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OIHKOJ—
ON T:,r 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 77(( l f Z
JOB ADDRESS 3 0 �� �� Ft A ���
OWNER T- i e re 1 �l c� ��"lC'� I c (IV
CONTRACTOR 6-'t ( 1Cl L t `4 J
CHECK IZI ALL APPLICABLE
CATEGORY
-.Ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL `t l'6-as DElectric ❑Solid SYSTEM ❑New eplace
❑Oil ❑Solar DOther
PE f
VEarced Air DRadiant ❑Steam ❑Vent DElectric DHot Water ❑Suppl. DCon.Burner
IS CHIMNEY BEING LINED IgKia❑Yes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B -1lirect Vent DOther
HEAT LOSS DAs Approved existing ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
,ia(F' (`' E' 1.T ? ( } l _ c;
VALUE(Including labor and materials)$ -7f/ 7"7 < f
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07