HomeMy WebLinkAbout0086061-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 2352 HICKORY LN
CITY OF OSHKOSH
No
86061
HVAC PERMIT - APPLICATION AND RECORD
Owner HAROLD GIAUDREY A CAIN
Create Date 04/16/2001
Contractor WESLEY HEATING & COOLING INC
Fuel [,(1 Gas I Oil
System ~ New
~ Forced Air U Radiant
U Electric LI Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss U As Approved . Existing
BTU Rate U As Per Plan () Variable
Category 502 - Residential-Both
1,(1 Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
1 Solar U Solid
D Other
~ AlC U Vent
1 1 Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value 50,000
Use/Nature SFR 1 REPLACE FURNACE AND ADD AlC
of Work (No electric permit required-received installation verification signed by Solar Electric)
Fees: Valuation $3,500.00
Issued By: Sm s
Plan Approval
$0.00
Permit Fee Paid
$57.50
Date 05/16/2001
D Permit Voided I
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-{
4-13-2001 11: 38M-1
...
FROM WESLEY_HEATING 4142357550
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OJ~()IH
ON ,... W"".
Division of Inspection Ser/ices
215 Cbu~~h Avenue
P.O. Box l~30
Oshkosh. WI 54903-1130
Fax ~ (920) 236-5064
Phon~ 1920l 236-5048
HVAC PERL~IT APPLICATION
All fields/information after bold categories must be provided.
lncomplete applications will not be processed. J
DATE i' /21.-/ 0;
JOB ADDRESS
;l g $' r). I:h elWe-y !-~
O~lNER
Ih./ l; /!..Vt
CIb~
CONTRACTOR
!oj Ut.~V ;.{4.A..ru.)G 4: UJOl.-11I16
CIRCLE ~~L APPLICABLE
USE CATEGORY ~~ DUPLEX MULTI-FAMILY
Ji"OEL ~~, OIL ~ ~ SOLAR
SYSTg}>f ~ NEW cJfEPLA@:> OTHER
TYPE ~ED At RADIA..".lT STE..>>..J.1
ELECTRIC HOT WATER SUPPL.
;J'V
COMMERCI~L
INDUSTRIAL
S^T T~
V,U..LU
--.--......
(~
VENT
CON. Soro..TER
MANUFACTURER
OTHER
NATURE OF WORK:
~tJ.J..,L. (Jut-Me. {!.trJ 1J1J 050 U 3
VALUE (Including labor and materials)
ELECTRICAL CONTRACTOR SO(..A1!. ~u....~.....I Co. - ,f f:.l,. r=:oif-,.() !..vi ,.J6
Electrical installation of new/replacement equipment shall be done
contractors.
;t~-L/
$ 330(j. 00
DuM-ftfl:--
,f,e; /0 13/t'.
(Il/~ 1O~j) ~
S~r.
by licensed
Valuation
Fees
$ 0 to S 1 , 000 . 0 0 ...____............................_............................_..............................._..........1...........----....----.$ 2 0 . 00
S 1,000 ,01 to $10.000. 00.._._.................................................__...............................ou...................$20 .00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000. OO..-----...-..-..--..-........~..........................--...........----.....1.........................$155.00 fo't' first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000. OO......m..'.........................................____.mmm__....--.__...............................,___......................$305.00 plus $0. SO
. per $100.00 valuation or part thereof
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the no;t'mal permit fee, ....'hieh ever is
oreater.
~4-13-2001 11 : 39AM FROM WESLEY_HEATING 4142357550
04/12101 13:43 F.~X9!O U6 112S Solar Eleetrl.;
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The"..... oflhc ""'"'..- of, (Checl< ODe 0< DOoedl>o lhc._orWm!<) \
./ Reccmne.cQcm Of new cit'Cuit JDr np1aeement ileadDg i"laiit iiiidlar Ale c~...
Reeonnectioft or new cin:uil for teplRceme:ni EiflCu\C Wiit6i' H.... ~
a~~on of the Sem~.E!"ttaDCe C~ic. ~~ nox. at'_..=r.sm ~-r.Md
bs,bti:D3Wtt'J.""es due to $ldlal I son:wt mstaiiattm1.. Note; Ne-~ Se:Y1ce ~
Cables win require ~ Mpuate permit.. I
Ilec~on or n.., ciJwjt for omc ~t1y w~-ad applianGC5! tnttmm.
Other
Electri~ InstanaticD VerineatiOA
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I hereby verify tlUli worle will be p=fmme4 by an cmpioyoe ofthl$ eoii"apany =:= fi.E"bEz'v..
(ec.oo.n~tion I ~alion. will be done in compll~ with iiiiIn\lfa...'"\\..-e: and B1~tric ~ I
TeQuirements.
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