HomeMy WebLinkAbout0083327-HVAC (furnace) 10 CITY OF OSHKOSH N 83327
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1515 INDIGO DR Owner JEANETTE BARTELL Create Date 11/02/2000
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas Oil Electric Solar Solid
System New
1 ✓I Replace 1 Other
✓j Forced Air _ Radiant Steam NC I Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type ') Chimney A O Chimney B • Direct Vent () Not Applicable
Heat Loss ) As Approved • Existing O Not Applicable Value
BTU Rate () As Per Plan () Variable • Other Value 75,000
Use /Nature SFR / REPLACE FURNACE
of Work (No electric permit required - received installation verification signed by Solar Electric)
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $23.00
Issued By: -A-Y-)S Date 12/08/2000
Permit Voided
—
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number (920) 468 - 6951/235-
11 -02 -2000 7 :22AM FROM WESLEY_HEATING 4142357550 P_1
0 Division of Inspection Services
215 Church avenue
P.O. Box 1130
Oshkosh, Wt 54903-1130
Fax * (920) 236 -5084
Phone (920) 236 -5048
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed. /
DATE 11 / ›'
JOB ADDRESS • / / AD/s° 2-
OWNER J &ON E. ra a - q�,
CONTRACTOR �VF.sL Y /A) Fl WOG /A4
CIRCLE ALL APPLICABLE
USE CATEGORY INGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL .C:i OIL - ELECTRIC SOLAR SOLID
SYSTEM NEW EL pLACE� OTHER
TYPE F�Q$CED RADIANT STEAK_ A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER.. SLZE7 0 4. - MANUFACTURER_
Note- All chimneys shall be sized per the BTU's being vented. _ _
CHIMNEY TYPE CHIMNEY A CHIMNEY B ; D4- iR£CT VENT OTHER
HEAT LOSS AS APPROVED CFXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE 7 6 ; 64)-6
NATURE OP WORK:
vALUR (Including labor and materials) $ 41°° . 0 6 "�
ELECTRICAL CONTRACTOR i OL � .T - ielC Set-- , o%LOcJl�16 V
Electrical installation of new / replacement equipment shall-be-done - licensed
contractors.
Valuation Fees
$ 0 to $1,000.00. �_....._� .._,_,,. ____ ...___- ___-$ 20 0 0
$1,000.01 to $10,000.00. $20.00 for first
Sl, D00 0.0- p1-n $1_ per- valuation or part thPreaf
$.10,_000.01 to $25,000.00 $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over$25, 000 . 00 ..... ........ ......... ... .......... ______ ..... ..._...._._.. _____ .........._._._._$305 -. 00 plus $0,_$.0
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 normal permit fee, which ever is
greater.
11-02-2000 7 : 22AM FROM WESLEY_F EAT INC. 4142357550 P. 2
11 /01 /00 16:23 1'AX 820 236 tt2S Solar Electric 4101
11 - 01 -2000 1!53PM MOM *ESLEY_HEAT1NG 4142ieo.,
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Electric Installation Verification
SOL 492 EL e-
(Electrical Contractor Name)
_ 3 3 N- a , hi/ SYV 0 y ' • !
(Address) (City) (State) (Zip Cods)
have been contracted to perform electric installation work for hf biri -F/Y AM I 684 •
(Namta€ party contracted raj +
a ttic f o l l o w i n g Ina, : , l6 / 5 ! N Dt6 O Die, 4 tlo r .y 1
( Address whore week 11rin be perl4ounrned)
The nature of the work eerrsists of : (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Cade t
Aeeetrmeoctic. er new circuit ,fot replaca:Kru k7eolricWsttaKca e - -1
�,
Reconnection of the Service Entrance Cable. Meter Box, alterations to receptacle'
ligbtin - fixtures duelo- eidingi soffit installation.. Noe: New Savice - .
Cables will require a separate permit
Reconnection or new circ For other permanently wired applisttess i fixtures.
Other
•
1
1
•
The value of this work is S 1 S. 0 0
I hereby verify this work will be performed by an employee of Ibis company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements,
•
t of Cor»pany Officer) ‘
M eat) (Date) ' ,
i
1
1
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