HomeMy WebLinkAbout0158424-HVAC (furnace & add ductwork) �
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� CITY OF OSHKOSH No 158424
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER '
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Job Address 2963 SHADOW LN Owner EDELWEISS FORMAL TRUST Create Date 10/24/2013
Contractor WESLEY HEATING 8 COOLING INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓Q Gas I Oil _� Electric-' Solar ',
� �Solid -�
System � New J �✓_Replace ' Other
✓�Forced irA Radiant Steam� A/C ' Vent �
Electric �Hot Water Suppl. J Con.Burner I
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved _ � Existing � Not Applicable ' Value _
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BTU Rate As Per Plan � Variable � Other I Value
Use/Nature SFR/replace gas furnace and add ductwork --
of Work '
"debit acct'*
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Fees: Valuation $6,890.00 Plan Approval $0.00 Permit Fee Paid $126.00 �
Issued By: ;)�'VL Date 10/24/2013
❑ Permit Voided I Parcel Id#1519625700
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 e it ap ' ti within easement,the City strongly urges the permit applicant to contact the easement
holder(s)and t sec re y ne � ova €ere starting such activity.
Signature Date (
AgenUOwner
Address 322 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 ,r/) �
P.O.Box 1130 ' -L��v v �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 HK H
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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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account S�stem and have adeguate funds, check here
if vou want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Venification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit applicadon. Applications snbmitted withont an EIV when snch is reqnired,will not be
processed for Permit Issaance and will be retnrned for completion.
DATE �� Z��/ I�
JOB ADDRESS � 1 CO J s��/��O� �},✓1 E�_� ��'�!U /
OWNER 1-I A 2�l�Ul .S i,� l_��( ,�o
CONTRACTOR �� �(
CHECK�ALL APPLICABLE
�U CATEGORY =
ngle Family ❑Duplex ❑Multi-Family ❑Rental OCommercial ❑Industrial E
FUEL �as ❑Electric ❑Solid SYSTEM �New 1�teplace
❑Oil ❑Solat ❑Other
TYPE
�orced Air ❑Radiant �Steam ❑A/C ❑Vent ❑Electric ❑Hot Water �Suppl. OCon.Burner
IS CHIMNEY BEING LINED,�io ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �Direct Vent ❑Other
HEAT LOSS ❑As Approved xisting QNot Applicable
BTU RATE ❑As Per Plan �ariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE G�\
� N'�c cl- _ c,t C(
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VALUE(Including labor and materials)$ CY ��Q ' �v
ELECTRICAL CONTRACTOR(for projects not requiring sn EIV Form) /�vil�G�(,wt; �N.`
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