HomeMy WebLinkAbout0107315 HOSHKOSH
ON THE WATER
.lob Address 535 JACKSON ST
Contractor WESLEY HEATING & COOLING INC
Fuel [~J Gas ~
System ~ New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner JELKA CUCUZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
107315
04/07/2004
Other
Vent J
Use/Nature
of Work
Replace boiler with Weil
McLain, DVSCC appliance. Install liner in masonry chimney.
Fees: Valuation
Issued By:
$4,800.00
Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$77.00
Date 04/07/2004
Parcel Id # 0702240000
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.
03/25/04 14:38 FAX 920 236 7725
Ha~ 125 04 I~:ODp UHC
Solar Electric
235-~550
(~01
eln
Electric Installation Verification
[ (we)
(Electrical Contractor Namc)
(Address) (City)
have been contract~ m perM~ el~c instMlatio~ work Mr
~cfollow/ng~dress: C~ J~o~
(Addms~ wh~e work will b~ perform)
Thc naIurc of the work consists of.' (Check One or De~cdbe the Nature of Work)
v/ Recnnncction or new- cimuit for replacement Heating Plant aaxl/or A/C Condenr~r.
__ R. econnection or ne'.',' circuit for replacement Elcc[ric Waler Healer or power ve~ted
wat~ heater.
R. econnection of the S-trice Entrance Cable. Meter Box. alterations to recepta~i~
and lighting fixtures due to siding / ~offit installation. Note: New ~cwic-
Entrance Cables will require a Separate permit.
__ Reconnccfion or new c/rcult fca-the replacement or'other permanemly wired
appliances / fixtures,
New cireuh for thc addition of A/C to all individualdweiling mli! OIouse or the
individual systems in a duplex or condvminium$, includln~ rcquked service
electrical oudct~.
OtMr
TM value of [his work is $. /~C"O · O0
I hereby veri t'y this work will be pcrform=d by an =mplayee of tltis company ~md fmlher v~/fy
the reconnection I installation will bi: dore ia compliance with manufacturer and Electric code
requirements.
( i~namfe g£ Company Office)
(Print ~nm~ of Offic.~l
4