HomeMy WebLinkAbout0094528-HVAC (furnace)
c,e
OSHKOSH
ON THE WATER
Job Address 842 BISMARCK AVE
CITY OF OSHKOSH
No
94528
HVAC PERMIT -APPLICATION AND RECORD
Owner ELAINE M ZEIMET
Create Date OS/21/2002
Contractor WESLEY HEATING & COOLING INC
Fuel 1,(1 Gas J Oil
System n New
l!:J Forced Air U Radiant
I J Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss () As Approved . Existing
BTU Rate () As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
I Solid
1 Electric
o Replace
U Steam
I 1 Suppl.
. Direct Vent
I I Solar
U AlC
I I Con. Burner
() Not Applicable
D Other
U Vent
C) Not Applicable
. Other
Value 0
Value 50m
Use/Nature SFRI Replace furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
$1,900.00
Plan Approval
$0.00
Permit Fee Paid
$33.50
Issued By:
l<vY'
Date OS/21/2002
D Permit Void~
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-E
5-14-20027:10AM
FROM WESLEY_HEATING 4142357550
P.2
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Oivi~iQ~ ~f tnspection's~rvic~s
2J S Ch\,l.,.,~h Avenue
P.O. 'SOX 1130
Oshkosh, wi ~4~~~-1~~~
~ax ~ \92u~ 236-5084
~h~~c \~2~} 2~g-S048
B'Il#.. -BISMIt-eMv
OWNER E'tAlIJ e ZlJ (hit.:{"
CONTRACTOR W /iiS tE y /fE" Mi iJb -r-dotJl-/ tJ G
HVAC PERMIT APPLICATION
At) fieldsjinformation after bold categories must he provided_
Inc~pleteapplications will not b~ p~::::;ed. S;I'{~/o ~
(~~N)
/r'IE
JOB. ADDRESS
CIRCLE ALL APPLl:CABLE
USE CATEGORY ~~ DUPLEX
FUEL ~ OIL ElJECTR.!C
SYSTEM N' ~ OTHER
TYPE ~RCED AI.R PAD IP.NT STEAM AI C VENT
ELECTRIC, ROO WATER SUPPL . CON. BT.JR'NER
IS CHIMNE-:( BEING LINED No ~f) JtM[Gtfz~ st:P~ c21frtJ1.r%~rCTURER
Note: All chimneys shall be sized per the BTU'~ ~~">gvented.
CHIM!I.~ TYPE CHIMNEY A CHUlNEY B ~~
~_.--.......
~
VARIASLE
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
SOL.~
SOLID
OTHER
BTU RATE
AS PER p~t
NOT APPLICABLE
OTHER VALUE SC1 ~
HEAT LOSS
AS APPROVED
NA~FE.' . (,t..,.itl..- ~ f!JrIJg06"() u:?
VALUE (rnC1U~d ....terials) $ /1 () o. t) 0
ELECTRICAL CONTRACTOR SOr.../f-/l- Euu!2J &'
-.-....--
Electrical installation of new/replacement e~~ip'ment shall be done by lic~$ed
contract~:)r5 ~
Valuation
Fees
1163 .50
$0 to $1,000. OO.____.~___~..._............__................_..........._~._.-~~...._____..._$20.00
$1 , () \") 0 . () 1. to $1 () . () (I () . 0 0 ........_.....__.._............._...._._..................__......._......._..........................$ 2 0 . 00 for f. i;:;$ t
$1,000.00 plus $1.50 per $100.00 valuation or part ther.eof
$10,000.01 LO $25,000. OO._____._._._...._..__.__...._..........~._._..~.__._..._.._._~__S15S. 00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thel-eof
Over. $2 S , 000 .0 0 ...........................................__................................................._......................................$ 305 . 00 plus' $ 0 . 5 ()
per $100.00 valuation or part thereof
. Submit payment with application. Failure ~o pay within 30 days will result in
fees being doubled Qr $100.00 plus the nOLimal permit fee, which ever is
greater.
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5-14-20027:11AM FROM WESLEY_HEATING 4142357550
. ~ Q5!1~/02 13:&1 FAX 9!Q 236 771$ SOlat El~trle
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h&ve beeIlccntrlCW4 copedormclccUk ~mJ. wosk. lOr wut.W H-rrJ6 f &1~"'~.
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ll~on Q(' llOW~t fotothar~wind._liance51 fixM&
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The val~ f)f this W01k ill S (.. 0'. 0. d ",-'
l heqby veti!ythis wosk \Viii be ~ by. amptoyae ot1bi.Q&....Y.. ~ _fyb I
~ioo.l iiwt:al\a1ioQ wil be~ia~wittl-fieMc and 1S1S1ric~
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