HomeMy WebLinkAbout015449 - HVAC (gas furnace) 0 CITY OF OSHKOSH No 154449
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1752 MARICOPA DR Owner ARNE LUDVIGSEN Create Date 02/13/2013
Contractor WESLEY HEATING&COOLING INC Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel Lij Gas ❑il 1 Electric tolar L1c4d I
System ❑ New 1 Q Replace I ❑ Other
j Forced Air J ❑ Radiant ErSam J A/C Vent
f Electric Water U Suppl. ❑ Con. Burner
Chimney Type ❑ Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss ❑-As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan • Variable 0 Other Value
Use/Nature SFR/REPLACE GAS FURNACE **debit acct
of Work
Fees: Valuation ,$3,640.00 Plan Approval $0.00 Permit Fee Paid $78.00
c).-■°°,)x, I Date 02/13/2013 211 3/2 0 1 3
Issued By: / , i.��«..
❑ Permit Voided) Parcel Id#1316240000
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 {J
' '1
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 �/O�H
Fax (920)236-5084 OJ f u IIK� ,
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
I DATE
C
JOB ADDRESS ) S 2 11f-1 J2 i(::
OWNER A i2 je_ L LA 610 ZL,`
CONTRACTOR ( S l t COD L fin
CHECK®ALL APPLICABLE
USE CATEGORY
#ngle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL _-Wens DElectric ❑Solid SYSTEM ❑New replace
❑Oil ❑Solar ❑Other
TY'E
sX-• ced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B . irect Vent ❑Other
HEAT LOSS DAs Approved .existing ❑Not Applicable
BTU RATE DAs Per Plan lariable ❑Other Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
RE% RCcCE=
O ,S rti I<? C
VALUE (Including labor and materials)$
I! .. ,5�C �1 —�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) l t
07/07