HomeMy WebLinkAbout0103457-HVAC (furnaces)OSHKOSH
ON THE WATER
.lob Address 533-535 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
103457
08/12/2003
Other J
Vent J
50m btu
Use/Nature RENTAL/MULTI-FAMILY/#533 & #535/Replace furnaces. *EIV forms from Solar Electric.
of Work
Fees: Valuation
Issued By:
$12,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$181.00
Date 08/12/2003
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 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.
CiW of Oshkosh ff~
Division of Inspection Services "/f~,~. [~'~
Phone (920) 236-5050
All information after bold categories n~sJ~l~.~r
Incomplete applications will not be process~"dg
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectio~rviees, 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 participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account N
JOBADDRESS
DAT~ J~//3 /~3
7
CffECK ~ AH, APPLICABLE
USE CATEGORY ·
~3Single Family V1Duplex ]~Multi-Family ~(Rental
I~Commercial [3Industrial
FUEL fl~lGas V1Electfic V1Solid SYSTEM
[]Oil []Solar
FINew
[]Other
~(.Replace
ced Air EIRadiant []Steam F1A/C []Vent {-IElectrie
IS CHIMNEY BEING LINED ~/No i-lyes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[]Hot Water [2 Suppl.
& MANUFACTURER
[2Con. Burner
CHIMNEY TYPE []Chimney A []Chimney B )~Direct Vent []Other
HEAT LOSS []As Approved ~Existing FINot Applicable
BTU RATE [3As Per Plan rlVariable F1Other Value
DESCRIPTION OF ALL WORK BEING DONE
/,46rT z.C A qom?g'os ocA3
VALUE (Including labor and all materials including light fixtures) $ dY 3 00 - 0 0
ELECTRICAL CONTRACTOR
~or 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
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 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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 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 N
JOB ADDRESS
OWr~R
COmXaCTOR ~/ /~d~ ~ d~YOC/A6
CHECK RI ALL APPLICABLE
USE CATEGORY
DSingle Family [3Duplex ~Multi-Family ~g(Rental
[3Commercial
[3Industrial
FUEL
~Gas FIElectric [3Solid SYSTEM UlNew [~{Replace
[3Oil F1Solar [3Other
ced Air tZlRadiant I-ISteam F1A/C [3Vent [3Electric
IS CHIMNEY BEING LINED ~fNo UlYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [3Chimney A F1Chirrmey B
HEAT LOSS [3As Approved ~Existing
BTU RATE [3As Per Plan [3Variable
[3Hot water [3Suppl. [3Con. Burner
& MANUFA~R
~Direct Vent FlOther
[3Not Applicable
FIOther Value o"-0! O-"67Z) ~7'-G/
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~300-00 ( 7~- ~--O) ,
ELECTRICAL CONTRACTOR -~'/~/'-,'~ ~//-¢-~"77°c4~-''
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
07224/~3' 12:01 FAX 920 235 7?25
Jul 24 03 12:~2p 9HC OSH
Solar Electric
~]04
Electric Installation Verification
Th~ natu~ of thc work consists of: (Check One or Der, ch'be the Nn~u~ of Work)
~/ Reconn~.on or new ¢!Wm[t for replaeem~t l-lea~s Pls~ and/or A/¢ ~.
Reconn~ctlon or new cmcmi for replacement Electric Water Heater or power
water heater.
P. econnention of thc Service Entrance Cable, Meter Box, ~lt~ra~ons to recept~les
and lighting fixtures due to siding / ~offit installation. Note: New So.ice
Entanee Cabl~ will require a separate pe~nit
__ Rcconnection or new circuit for the replneemmt of other permanently wi~zd
appliances / fixtures.
. NewcircuitfortheaddifionofA/CtoanindivMt~ld~ll~ngun~g(houseorthe
individual systerra in a duplex or condominium), including required se~iee
electrical oudcts.
Other
The value of this work is $
I horeby v~-i~ this work will be performed by an employee of this company and fvrth~ vcri~
the reconne~tion / installation will b~ done in comglian~ with manufactvmr and Ei~iric mdc
requirements.
(Pfint'N~ 0f'bfricer)