HomeMy WebLinkAbout0151346 - HVAC (replace furnace and new AC) CITY OF OSHKOSH No 151346
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1019 NEBRASKA ST Owner DAN M BENNETT Create Date 07/24/2012
Contractor WESLEY HEATING&COOLING INC Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel J Gas Li Oil Electric f Solar Solid
System Q New Fr] Replace ❑ Other
Forced Air Radiant u Steam u NC f Vent
Electric Li Hot Water n Suppl. I Con. Burner
Chimney Type O Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss O As Approved • Existing 0 Not Applicable Value
BTU Rate Q As Per Plan • Variable ❑ Other Value
Use/Nature SFR/REPLACE FURANCE AND ADD NEW NC "check#103205
of Work
Fees: Valuation ' . /$4,360.00 Plan Approval $0.00 Permit Fee Paid $76.00
Issued By: 5YY)LL,) Date 07/24/2012
❑ Permit Voided Parcel Id#0302360000
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 OJ HKOJH
ON WAtri
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
ifyou want this processed through your account El
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
/ Ale-(� DATE
!
JOB ADDRESS / V 9' IJ ORS k/4 5 /
OWNER 'IT) 2-,✓/ve
CONTRACTOR (�(.A L ./ k ✓�
1
CHECK 0 ALL APPLICABLE
U CATEGORY
gle Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial
FUEL DElectric DSolid SYSTEM , eweplace
❑Oil ❑Solar DOther
Tj'E
_i .rced Air DRadiant ❑Steam FC ❑Vent DElectric DHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINEDo DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B irect Vent DOther
HEAT LOSS DAs Approved ,,existing DNot Applicable
BTU RATE DAs Per Plan Oariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
2P-PLae_- R,t.i/Ua.i 4-Y1 D /g2-4 /? L. R-"Z- 5 /
2ry
VALUE(Including labor and materials)$ 3( 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
•
Electric Installation Verification
KOLLWANN ELECTRIC LLE:
69 X 2
AN DYN 5192;
trca(.We)
ontra,nor Name or lothethevniiiiiiis Name)
—
(Address W (Zip Codo)
accept the io perform the e:eethe sack as stated bekuaii at:he foliewin2 address:
(Address i..,here wo:k rfr,rme..21
Thc naturz:oltiw work consuls iiiTheck One em Deiseriiiie the Nature or
.R;:e ailnt'CtiOn em new Circu,,t tom maciltmemeni Heating Plant and A-:( condenser
Reuiuthection em neiA eireult km replacement Flaiearie Water Heater or power-,iented
eater
1:e,:orinc' t oi the Service illatiamea Cable.:Amer Box.atteratlens to neeeplacies
and Lb log Fixtures due ui siding soffit a dl Note: Nevii Service'
Entrance Ciabies sIt requi3iii a separine permit.
11ZW repiauemem c othiar permarientl wired
appliances litourer.
eirkui it for ithei addition t C u an
lequirecii scan ioe iudiais. Note: Hopieua npn edn
me a icfirorrd rtrsc c)Ce:lipit,d home, H. on a COL:(19n7lniWn.
:road require a licou;cal Eiecirical
USer
ftc sake Caneraeiar
orthis work us S
serifs'this work win be ricii-Rrmed s cc -pierce tire teeter requireintthas rh
Section I -22 of th::2.Ostike U Municipal ciade and In rither\ iiti$:the reconnection
vi he done in Lompilance with riandlii.u.tuiter itad Elect.ric cede rc.-quiremnts.
if 7
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