Loading...
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