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HomeMy WebLinkAbout0103282-HVAC (furnaces)OSHKOSH ON THE WATER .lob Address 515-517 CAMELOT CT Contractor WESLEY HEATING & COOLING INC Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~J Radiant Electric I ~J Hot Water Owner WISCONSIN HOUSING PRESERVATION C Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 103282 08/04/2003 Other J Vent J 50m btu Use/Nature RENTAL/MULTI-FAMILY/#515 & #517/Replace furnaces. *EIV forms from Solar Electric. of Work Fees: Valuation $12,600.00 Plan Approval $0.00 Permit Fee Paid $181.00 Issued By: Date 08/04/2003 Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1736 SAL STREET GREEN BAY WI 54302 -0 Telephone Number (920) 468-6951/235-6 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. Cit~ Sf ~)shkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 Oj'HKO_/H 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 1 t28, 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 participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account JOB ADDRESS ~'/f ~TW ~- t9/~ CHECK ~ ALL APPLICABLE USE CATEGORY ZtSingle Family U1Duplex ~Multi-Family ~(Rental [DCommercial Fllndustrial FUEL )~Gas UlElecthc F1Solid SYSTEM EJNew [~Replace F1Oil F1Solar [21Other ced Air EIRadiant KlSteam F1A/C F1Vent VIElectric IS CHIMNEY BEING LINED ~/No U1Yes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. UIHot Water FISuppl. & MANUFACTURER EICon. Burner CHIMNEY TYPE [qChimney A rqChimney B ~Direct Vent F1Other HEAT LOSS E]As Approved ~J, Existing FINot Applicable BTU RATE I-lAs Per Plan IqVariable F1Other Value DESCRIPTION OF ALL WORK BEING DONE Id6FPf~c ,,¢/f~-Fz-oW /~Fqom?~'ox'orv3 VALUE (Including labor and all materials including light fixtures) $ ~:~ ~ OO- OO (~q-~-O). ELECTmCAL CONT~CTOR .~'~4~-~ ¢t-Cd_ff-f&d.P j~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 required. 9/02 07/24/03 12:01 TAX 920 236 7725 Ju! Z~, 03 l~:O~p EdHC CISH Solar Electric 235~7550 1~ O~ Electric Installation Verification ., ~ fon~ ~: ~/~' ~ ~' · ~e ~ of~e wo~ ~s~ of: (~k ~e or ~ ~ N~ of Wo~) ~o~on or new c~t ~r ~t ~flon or n~ ~t for ~t Elec~ W~ wal=r h~t~. ~ ~n; ~ d~ to ~i / ~ffi~ ~l~ Note: ~ S~ appli~ces / ~ ~c~t for ~ ~gon of ~C elec~ outl~. O~cr The value of this wo~ is $ ~/~0. ~0 requirements, -C-(~/~ure of Company Officer) City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1 t30 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O_/HKO/H · 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 tee, which ever is greater. OR If you are a contractor participating in the Permit fee .4ccount System and have adequate funds, check here ifvouwantthisprocessedthroughvouraccount [-] ~8/7/0 DATE J JOB ADDRESS OWNER doo A 6 CH]~ICK [~ AT J, APPLICABLE USE CATEGORY E1Single Family ElDuplex ~Multi-Family ~(Rental [3Commercial I-llndustrial FUEL ~Gas EIElectric FISolid SYSTEM F1Oil F1Solar rnNew [DOther }(.Replace ced Air [DRadiant FISteam [DA/C [DVent r'lElectric IS CHIMNEY BEING LINED ~No [DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. [DHot water [DSuppl. & MANUFACTURER FICon. Burner CHIMNEY TYPE ElChimney A [2]Chimney B )~Direet Vent [DOther It2EAT LOSS F1As Approved ~Existing F1Not Applicable BTU RATE EIAs Per Plan [DVariable E1Other Value ,~'C)! ~ ~ ~-L/ DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ &300.O~) (Tq.;o). ELECTmCAL CONTRACTOR j~or applicable projects, an Electric Installation Verification form, signed by the Electrical Conlractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. 9/02 07/24/03 ~.2~01 FAX 920 236 7?25 Jul 24 03 12."'OZp HHC O5H $o!~r Electric 235-?~0 Electric Installation Verification Thc n~uro of ~e work eami~ oP. ( .Check One or Dczcrlbc the Naiu~ of Work) ~ R~o~Uon mu~ ~u~ ~ ~i~t H~g PI~ ~ ~C ~. ~ ~co~e~on or n~ ci~t for ~t El~c W~t~ H~ ~ ~w~ v~ K~o~fiou of ~e Se~ E~ce C~le, M~ B~, ~o~ ~ ~d ~ng ~ d~ to ~g I soffit ~hfio~ Note: N~ S~ ~u~ce C~Ics W~ ~ a ~ p~t. R~o~ or new ci~i for ~c t~l~t of o~ p~y ~ New ~t for ~e ~di~ou of ~C ~ ~ ~v~ual d~l~ng ~ ~ ~ ~ el~c~ outlet. O~cr The value of~is wozk is $ ~P~' ~ I hereby verify ~ work win be pta fo~med by an mnployen of this compmy and further vct~y thc reconne~don I inst~llation wiU be done in compUance with m~'t~ mui Elec~c cod~ requirements. (~[lf ~,f Company Officer) (Pt~ ~nmc of Officer)