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)