HomeMy WebLinkAbout0104030 HOSHKOSH
ON THE WATER
.lob Address 243 W 18TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner LEO A LEMIESZ JR
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104030
09/08/2003
Other J
Vent J
2 ton unit
Use/Nature SFR/Install a Lennox HS29-024, 2-ton unit. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$38.00
Date 09/08/2003
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) 236-5084
HVAC PERMIT APPLICATION
~lctc applicafio~ ~11 not be proceed.
' Application(s) ~d fee(s) c~ be brou~t to Ci~ Hall, Room 205 ~ ~le~~~ox 1128,
noel p~it f~, wM~ ~ is ~at~. -- ~~. .
OR
[f Vou are a contractor participatin~ in the Permit fee ~ccount System and have adequate funds, ~heck here
if ~ou want this processed through your accqunt ~
OWNER L~O
DATE ~/'~ ~/~ ~
CHECK [] ALL APPLICABLE
SinCATEGORY
gle Family E]Duplex OMulti-Family I~Rental DCommercial ~]Industrial
FUEL
[3Gas
V~Solid SYSTEM ONew J~eplace
[3Oil [3Solar v1Other
TYPE
EiForced Air VIRadiant DS'team ,~C UIVent EiElectric
Ig CHIMNEY BEING LINED ~o I-lYes - LINER SIZE
Note: Ail chimneys shall be sized per the BTU's.being vented.
[3Hot water i-lSuppL EICon. Burner
& MANUFAc;! tJRER
CHIMNEY TYPE VIChimney A EiChimney B []Direct Vent EiOther
HEAT LOSS V~As Approved ~xisting EINot Applicable
BTU RATE f-lAs Per Plan I'qVariable EiOther Value ,~-- f~OAJ t./AJ l ~
DESCRIPTION OF AI,I, WORK BEING DONE
IM sL V ,qg,ocnA d- oc/A6 w/ca
(Including lair and all materials including light fixture)
VALUE
ELECT~C~ CON~OR ~
~or applicable project, ~ Elec~c ~stallarion V~fication fo~ si~ed by ~e Elec~cal Con~ctor, must be
a~ched. If not a~ched or not applicabIe, a sep~a~ Elec~l P~t is requ~ed.
A~ ~5 03 02:55p WI-lC OSH 235-7550
~lectric Installation Verification
(Add=es whc~ wed; ~'~be p=fonned}
Thc netut= of thc wink ~n~s ~ (Check One ox Desnn'b~ t~e Nenu~ of Wink)
~ l~.econnectlon ot new circuit ~ i~lag:ez~t He~ Pl~alt 8~l/or ~ Condmser.
__ 1~.ecomtecrmn or new ci~fir for replacement Rlectrlc WategHe~er or power
value of ~is wmtc is $ . / ~"~0. ~c~ .
I hereby ve~i~ this wo~ will t~ p~"~m~ncd by so ~nploycc of'this c~m~ny end fi,~b~ veri~
the ~econnec~ion ! ~,~al~i~ will ~ done in camplianco wi~ m~ea- and l~mtri~ ~,.~t_.