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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)