HomeMy WebLinkAbout0102794-HVAC (furnaces)OSHKOSH
ON THE WATER
Job Address 1975-1977 EVANS ST
WESLEY HEATING & COOLING INC
Contractor
Fuel
System
Gas
[] New
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner HOWARD DEVELOPMENT
b~ Hot Water
ChimneyType [) ChimneyA ~.) Chimney B
No 102794
Create Date 07/14/2003
Plan
Category 500 - Residential-Heating & Ventilating
I, oil I I~ Electric I I I solar I I
I [] Replace I [] Other
~ Radiant J ~J Steam L~ NC I LJ vent
I LJ suppl. I I
O Direct Vent ~ Not Appli~ble
Heat Loss ~ ~ As Approved O Existing ~. ~ Not Applicable I Value 0
BTU Rate ~.) As Per Plan (..~ Vadable i~l Other I Value 50m btu for each apt
Use/Nature v~ULTI-FAMILY/RENTAL/#1977/Install 4 Lennox furnaces. *EIV form from Solar Electric.
of Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $95.00
Issued By: ~ Date 07/14/2003
[] Permit Voided
In the performar~'13T~ work, I agr~ p~rform all work pursuant to rules goveming the described construction.
Signature J /~.~., .~/~~ ~' Date ~--/~",---C.J_.~
~" ' ~ / ~- Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number (920) 468-6951/235-(
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATIC "
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 participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
DATE
CHECK [~I ALL APPLICABLE
USE CATEGORY
Z1Single Family C']Duplex ~Multi-Family [~Rental
DCommercial'
I"llndustrial
FUEL ~Gas [Electric [Solid SYSTEM tZlNew ~.Replace
I~Oil VlSolar FIOther
FoE
rced Air I-IRadiant F1Steam I~A/C FIVent UIElectric F1Hot water F1Suppl. []Con. Burner
IS CHIMNEY BEING LINED [~No I-lYes -
LINER
SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CI-tlMNEY TYPE
HEAT LOSS
BTU RATE
I~Chimney A
[]-lAs Approved
lAs Per Plan
EChinmey B
xisting
F1Variable
~Direct Vent F1Other
[Not Applicable
FIOtherValue ff'C ~ ~C47 ~F'C/ FO/& ~,q-~6z ,'q-PT/
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~:~ 00. 00 ( ~ qS-t~O)
ELECTRICAL CONTRACTOR S OL,4/~ ~'/--~- ~/Z / ~
D For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is requ!red.
9/02
0?/09/05 11:45 FAX 9~0 ~36 77~$
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haw bee
at ~hc folk
WHC OSH
Solar Electric ~02
I'
235-"?SS0 p · 3!
Electric Installation Verification
t~Iccwieal Contractor Nnm=)
~d~s) (Ci~) (State) -' (Zip
~g~d~ss: /q77 E~MS s~
(~ss w~ w~ %11.~ p~o~)
The nann~ of~e work consists off (Check One or Dmc~'be thc Nature of Work)
v/ Rcc0nnccfion or new circuit for n~laccme~ Itealin~ Plant and]or A/C Condm~e~.
! Recouncction or ncw circuit for rephcemant l~lecUic Water He,er or power vea~:d
~ water heal'ct.
Re, connection of the Sere/cc ]Snlr~cc Cable, Meter B~x. altemtion~ ~o recepmcle~
I and lighiingfi.xrarc~ duetos~ding/soffiti~tallatiom Note: New Service
i Entrance Cab]es will requite a ~parate permit.
Rcconnccfion or new circuit for thc repl,~cment of o~h~r 0~anaue. ntly wired
I appliances / fixtures.
New circuit for ~hc addition of A/C to an mdividual d~elling unft ~oUze or ~he
individual systems ~n a duplex Or condominium), includiag required service
electrical outlets.
! Other
The vala¢ ~f thiz work i~ $ ~t 0~ t[9O . !
I hereby v~f~ tht$ work will be p~'f~'me.,d By ~ ~l~ln~ ofthh comp~ly ~nd finthor vea'if~
lhe reconncction / installation will be done ~n compliaace wid~ ma~u~aciim:r and Ble~tric code '
r~cluiremen~s,
: of Company Officer)
(Pt/fit N~ne of oftiC~r)
(Dire)