HomeMy WebLinkAbout0106891-HVAC (furnace)OSHKOSH
ON THE WATER
2206 #C MEADOWBROOK CT
WESLEY HEATING & COOLING INC
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas I I~ Oil
New I
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner ALMA M SUPPLE
Category 500- Residential-Heating & Ventilating
~J Electric I ~J Solar
Replace I
~J Steam I ~J A/C
Suppl. ] ~J Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
~J Solid
106891
03/16/2004
Other
Vent
Use/Nature
of Work
Replacing a furnace, warranty work.
Fees: Valuation
Issued By:
$925.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided
$20.00
Date 03/16/2004
Parcel Id # 0620590000
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 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.
03/15/04 12:55 FAX 920 230 7725 Solar Electrlc ?~101_
I (we)
Electric Installation Verification
(Electrical Contractor Name)
(Add]ess) (City) (State) (Zip Code)
have been contracted to perform elccm.'c installation work for /A//.&C,/'D~. ~.
(Address where work will be performed)
The nature of the wonk consists of: (Check One or Describe the Nature of Work)
/~ Re£'onneetion or new circuit for r~hcemmt Heating l~lant and/or .~C Condemn..
~ Reconnee~ioa or new circuit for r~lac~t El~tdc Water Heat~ ar ~o~r venl~
water
__ Rcconnection of the Se~ice Entr~ce Cable, Meter Box, ahctadot~ to r~eplacl~
and lighting fixt~ due to ~ding/so~t i~tallation. Note: N~' S~'ice
Bnt~ Cables will rcqui~ a s~e p~it.
__ Re~<tJon or ncw ci~uit for thc r~l~em~t ofother pe~anendy wired
appliances I fixture.
N~w circuit for lhc ~dJtion of AIC to ~ individual d~llinR ~it {~ or the
individual sy~em~ in a duplex or condominium), including ~quir~ s~ice
clectdcal outlets.
Thc value of this wozk is S /dO. _~"~' .
! hereby verify this work will be performed by an employee of this company and further verify
the reconnection / in~tallation will be done in eompliane* with manufacturer and Electric eode
requirements.
( ( Signat~'~ of Company Officer}
Name of Officer) ( Date1 '~