HomeMy WebLinkAbout0151349 - HVAC (replace central air unti0 0 CITY OF OSHKOSH No 151349
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1714 WESTERN ST Owner JEFFREY E/MARIA ELENA A WILLIAMS Create Date 07/24/2012
Contractor WESLEY HEATING&COOLING INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel 1(1 Gas I Oil ' j Electric Solar Li Solid
System n New 0 Replace ❑ Other
u Forced Air Li Radiant u Steam u NC u Vent
I I Electric ] I I Hot Water r] Suppl. J Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable , Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature SFR/REPLACE FURNACE AND CENTRAL AIR UNIT **check#103232
of Work
Fees: Valua on ' t $4,620.00 Plan Approval $0.00 Permit Fee Paid $80.50
Issued By: UJ Date 07/24/2012
❑ Permit Voided Parcel Id#1211100000
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 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 -KO,
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. /
DATE �/ /x1/ 7
JOB ADDRESS ) I L/ (�t1C'5 I e a VI) fff
•
OWNER J e-( F CA) t LL A w`S
CONTRACTOR U) Ed_
CHECK I ALL APPLICABLE [
USE CATEGORY
,ningle Family ❑Duplex OMulti-Family ❑Rental ❑Commercial ❑Industrial
FUEL 3das ❑Electric ❑Solid SYSTEM ❑New I Replace
DOH ❑Solar ❑Other
TYPE
rForced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED l lNo.er_Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B irect Vent ❑Other
HEAT LOSS DAs Approved . xisting ❑Not Applicable
BTU RATE DAs Per Plan l Variable ❑Other Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
Wit?Pia c.e yea/e 1- C to.1.1-/2 ! ,q ir, u
VALUE(Including labor and materials)$ 2c7 I 0 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
hf.C.
E;Aectrie installation 'Verification
KOLLMANN fiECIRIC Lit
twe, PO 66X 26
YA1 UY/kF,(1.,I4,4iNt •racr N7 ' '
Name or liohe n
nawer
(Addrat-6) icav: (Slate) i.7.1p Code.
aecop: im‘aitimubilda, perborm the mectrio ii.orit as si.ated belotA.a tho Core address:
(Addross whore Work w be per:Or-meal)
The riume ol the V..ork of ono Or 0.1.1'.4eribe the Naturt rd
ty„..
Reconnection or non-, circUit hr rep moor itantirb:i Mani and:Or AlC Crindonser.
„_ Pecormaction rr nec, circuit for replacement Fiecnerie ace:bloateri or nowr ec-ioani.od
nto:henicer.
ReddilliedtiOn artire b eke Email:de Cr.\Icier din,.anerntions recootactos
and it-a:4,fiNiLf-e:.,duo ba sidint! :ton 1i:start:di:on, Note Necs Serviee
licti ranee Cablect will require a separate
deconirectioti:ar net:, direr ii Co:the:enlacement'of other nem:noon:1),
appliances fixtures.
Noic oirend h die raid c of bf 1cc act inarvidacil dwelling cr011 including
iequireci ershie eiectitictil ,ilulltecui-nor,con onir;_i()rhrw,
liCO/Se1
cither
The vaitie obthic n ork , “2„,
I bi.c'Ter performed in e neCo lia the License requirement of
Socaion °tittle Oshicosit 01 1 code and:'..urther 1. 1 e conoitcteel ion icouptintron
coinp a cee'sviCn ilium:facture(and Electric code reepauementis.
,i5:ettnatrai'lcomot.r,-.)oific ec