HomeMy WebLinkAbout0122227-HVAC (furnace) � � CITY OF OSHKOSH No �22227
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE INATER
Job Address 18 E NEW YORK AVE Owner HENRIETTA A KING LIFE ESTATE Create Date 10/24/2006
Contractor WESLEY HEATING&COOLING INC Category 500-Residential-Heating&Ventilating Plan
Fuel ✓ Gas Oil Electric Solar Solid
System [] New I �✓ Replace � Other �
✓ Forced Air Radiant Steam � A/C Vent
_ ,
Electric Hot Water Suppl. Con.Burner !,
Chimney Type Chimney A �imney B ` Direct Vent __ Not Applicable
Heat Loss As Approved Existing �Not Applicable Value
BTU Rate As Per Plan Variable Other -� Value 80,000
Use/Nature FR/Replace fumace. EIV provided by Kollman-Reilley Electric. NOTE: Owner listed as Brett Trochinski on permit application. �
of Work
Fees: Valuation $2,958.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: ��� Date 10/24/2006
❑ Permit Voided � Parcel Id#1506530000
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
AgenUOwner
Address 3220 BASLER LN 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.
Ciry of Oshkosh
Division of Inspection Services �
' P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 ����H
' ON THE WnTER
� HVAC PERMIT APPLICATION
Al!information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Ha(1,Room 205 or mailed to Inspection Services, PO Box i 128,
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 conlractor participating in the Permil ree Accotrn! Svslem and have adeguate funds check here
i(you want this processed lhrou�h vour account ❑
DATE \O- ��-(�_o
JOB ADDRESS �Q� �� t�,o�t������_
OWNER�.�e ��c����S1�,
CONTRACTOR t'�,��i.>,.s� �m�'s�r� � �5,���C
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CHECK�ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial ;
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New (�Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B Ij�IDirect Vent ❑Other
HEAT LOSS ❑As Approved �Existing ONot Applicable '
BTU RATE ❑As Per Plan ❑Variable �Other Value�.�, S`��.,
_ �� �
DESCRIPTION OF ALL WORK BEING DONE
�'�
_ a�
a
VALUE(Including iabor �d materiais) $ �� � . �1
, �_ ,
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ELECTRICAL CONTRACTOR
❑ For applicable projects, an Electric Installation Verification signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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