HomeMy WebLinkAbout0103525-HVAC (furnaces)OSHKOSH
ON THE WATER
.lob Address 540-542 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
103525
08/14/2003
Other J
Vent J
50m btu
Use/Nature RENTAL/MULTI-FAMILY/#540 & 542/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 08/14/2003
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.
City of Oshkosh
*Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 2364084
HVAC PERMIT APPLICATIO~I _
cate ones mnst ~
All ~fomfion after bold g ' ~ ~q~, '~T 0g
Incomplete applicatiom will not be pr6~Ul~JTY DEVELOPMENT
Application(s) ~d fee(s) c~ be brought to CiW Hall, Room 205 or ~iled to ~specfion S~ces, PO Box 1128,
Os~osh WI 54903-1128. Co~encing work without ~it(s) ~I1 result in fees beNg doubled or $100.00 pl~ the
no~al pe~t fee, wNch ev~ is ~eater.
OR
lfi vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
iflvou want this processed through your account ~
Jon ~a)DRI~SS ~'¢eP a_4q~ ~4c~5F'
OWNER /v/Oa~* m,qv,/X-ggm~,qr- 0~.f
DATE
CFIECK ~ ALL APPLICABLE
USE CATEGORY
ElSingle Family F1Duplex }~SMulti-Family ~g(Rental
[Commercial
[]Industrial
FUEL ~Gas mElectric F1Solid SYSTEM UINew ~kReplace
I~Oil F1Solar F'lOther
oFoE
rced Air E]Radiant nSteam IZ1A/C U]Vent FIElectric
IS CHIMNEY BEING LINED ~/No F1Yes - LINER SIZE
Note: All chirrmeys shall be sized per the BTU's being vented.
F'IHot Water FISuppl.
& MANUFACTURER
12Con. Burner
CHIMNEY TYPE V1Chimney A DChirnney B )~Direct Vent FlOther
HEAT LOSS r-lAs Approved ~Existing DNot Applicable
BTU RATE DAs Per Plan [3Variable UIOther Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~ ~ O6~ ' 65 O
E~ECTRICAL CONTRACXOR .ffOL/Qp_.-~
j~or applicable projects, an Electhc 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 FAX 920 236 7725
,Ju~i ;~4 03 1;~:OIp WI-lC OSH
Solar Electrlc
~05
Electric Instailatiou Verification
' (LalecUical Con=aCtor
{Ad~s) (Ci~) (S~te)
~. ff~ ~ ff ~ ofp~ ~ to)
~ ~t~ of ~e work consim of:
~gon or n~ circ~t for ~ ~ng PI~ ~or ~C ~.
R~fion or new ~euit for ~1~ Blanc Wat~
wal~ h~ler.
R~o~ectlon of~e ~e~ ~c~ ~l~ ~ Box, alt~fio~
~c~ ~lcs will r~ a s~ p~R.
~o~ti~ or new e~t for ~e repl~ of o~ p~y
appli~c~s /
Hew ci~uit for ~e a~iti~ of~C to ~ i~dividual ~lling
~&vidual system~ ~ a ~plex or ~ndomi~). includi~
cl~c~ out~.
Other
The value of this work is $ ~'0~. O0
I hereby verify this work will be performed by an employee of this comp~ly and fwther veri~
the recomnection / installation will be done in comptiallce with Inalmf~ and Blccuic code
requirementS.
COst~)
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
3 2°°3"-"'HKO'H
HVAC PER~IT APPLI~Y OE[/Ftop~r~T
All ~fomfion after bold categohes mint be provided.
hco~lete applicatio~ 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 $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
i£vou want this processed through your account ['~
JOS~Dm~SS S-/~ ¢/?/Z] ~Of &7~
COmP. aCtOR ~-~" /TZar7~e; ~ dooz./.46
ClllgCK [] ALL APPLICABLE
USE CATEGORY
[2Single Family F1Duplex ]~Multi-Family ~(Rental
F1Commercial
E]Industrial
FUEL ~Gas [3Electric [3Solid SYSTEM [3New Replace
[3Oil [3Solar EtOther
oFoE
rced Air [3Radiant [3Steam [3A/C [3Vent [3Electric
IS CHIMNEY BEING LINED ~fNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
EiHot Water EiSuppl. EICon. Burner
& MANUFACTLrRER
EiChimney A EIChimney B )~Direct Vent EIOther
I-lAs Approved ~[Existing F1Not Applicable
[3As Per Plan EIVariable [3Other Value ,~-0
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR .~'O/--.,qG¢-~ ~/--~dZT~',-dd---
.~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
07/'24/0~ '12:01 FAX 920 230 7725
Ju! 24 03 12:01p ~HC DSH
So,ar Electric ~05
Electric Installation Verification
Thc nature of the work consists of: (Check One or Des~ibe thc N~ o~W~k)
water h~.
g~o~ of ~ Se~ En~e C~l~ M~ Box,
~ lig~g ~ due ~ sing /
En~e C~les ~I ~
~ ~o~gfion or n~ ciguit for
~pli~ /
~ N~ ckc~t for ~c ~on of
in~du~ s~s m a d~lex or ~nd~mL ~cl~g r~
el~c~ o~le~.
0~
Thc value of thiz work is $, ~PP- ~
I hereby veri~ t~s work will be performed by an ~mployee of this ~tnngany md fmth~ ~
thc reconncc~on / installation w~ll be done in campliance ~ mauu~acturc~ and Electric cnS~
rcqu~'remc'nts.
(S~ature of Company 0£~c¢0
(ritN~me of ORieeO