HomeMy WebLinkAbout0096976-HVAC (a/c) 0 CITY OF OSHKOSH N 96976
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2621 SHOREWOOD DR Owner THOMAS P NESBITT Create Date 08/30/2002
Contractor WESLEY HEATING & COOLING INC Category 501 - Residential -Air Conditioning Plan
Fuel 1 Gas 1 Oil 111 Electric 1 1 I Solar I 1 Solid
System [] New 1 112 Replace 1 0 Other 1
r J Forced Air IJ Radiant u Steam I U A/C u Vent
1 1 Electric I 1 Hot Water 1 1 Suppl. I I J Con. Bumer I
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss J As Approved 0 Existing • Not Applicable 1 Value 0
BTU Rate ; ) As Per Plan 0 Variable • Other Value 2.5 ton
Use /Nature SFR/ Install replacement central air. *EIV form from Beez Electric.
of Work
Fees: Valuation $3,900.00 Plan Approval $0.00 Permit Fee Paid $63.50
Issued By: Date 08/30/2002
D Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number (920) 468 - 6951/235 4
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOf H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications 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
if you want this processed through your account 11
• DATE P/a /0
JOB ADDRESS 'Z ( O Z I SI 124ft1 )oo b �2
OWNER Mai /V 8 f rr
CONTRACTOR WESLEY /E I Ai 6 4 0.00/1)
CHECK H ALL APPLICABLE
USE CATEGORY
tcrSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑commercial ❑Industrial
FUEL /}C ['Gas Electric ['Solid SYSTEM [New -replace
❑Oil ['Solar ['Other
TYPE
['Forced Air ❑Radiant ❑Steam.A/C ❑Vent ['Electric Elliot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED Eio ❑Yes - LINER SIZE & MANUFACTURER •
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ['Chimney B DDirect Vent ❑Other
HEAT LOSS DAs Approved 1Existing DNot Applicable
BTU RATE DAs Per Plan ['Variable DOther Value 04 t/•1 T oo l S C14
DESCRIPTION OF ALL WORK BEING DONE -
J-42ta f,L A.9 6144-1.W. /- rc-o1( - l't' fr /f S• 3 a - d 3 0
a 1 �a - m i ? W oCft-re 'X l s 7 716 CANT -U 4-i 2 � ��.c - c ' 4-& /o
VALUE (Including labor and all materials including light fixtures) $ - 00' 0O /_ 3 .5
ELECTRICAL CONTRACTOR 3EE 0R )(Electric Installation Verification form attached(If Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
•
3/02
08/28/2002 01:32 9202317255 BEEZ ELECTRIC PAGE 01
City of Oshkosh
A
215 or vee sarvua
Z15 GAureh Avenue
PO Banc 1130
Oehlco.h WI 54903 -1130
011ice 920- 236 -5050
w, F . F 7290.236 -sv>fa
Electric Installation Verification
(I) (We) Beez Electric_ Inc.
521 W. 12th Oshkosh M, 54902
have been contracted to perform electric installation work for Wesley •Heating & Cooling,
at the following address: 2621 Shorewood Drive.
The nature of the work consists of : (Check One or Describe the Nature of Work)
® Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser -
R Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
R Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is Slaw
1 hereby verify this work will be performed by an employee of this cc/mpany and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
equirements.
114 11 { ' 08/28/02
Goa y Bie5i�1�
(Signature • f ompany Officer)