HomeMy WebLinkAbout0100556-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1660 OHIO ST Owner NATHAN hi PAULOS
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 50m btu
No
Create Date
Plan
~J Solid
Vent
100556
04/01/2003
Use/Nature SFR/Install furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$44.00
Date 04/01/2003
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) 468-6951/235-6
,City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF 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 $1.00.00 plus the
normal permit fee, which ever is greaten
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 Four account ~
JOB ADDRESS
OWNER
Cl:W~CK [] ALL APPLICABLE
Sin CATEGORY
gle Family
FUEL
V/Oil
ElDuplex FIMulti-Family
VIRental
DATE
V1Electric FISolid SYSTEM
VtSolar
T E
~oForced Air V1Radiant V1Steam E]A/C F1Vent E1Electric VIHot Water FISuppl.viCon. Bumer
IS CHIMNEY BEING LINED VINo I~es - LINER SIZE ~/// & MANUFACTURER
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [-IChimney A V1Chimney B ~Direct Vent F1Other
HEAT LOSS [2]As Approved I~(Existing V1Not Applicable
BTU RATE VIAs Per Plan V1Variable VIOther Value 5"O/ ~
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ a~, ~ 00 ' 0 ~
ELECTRICAL CONTRACTOR F.4,.'~I ~ OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02
03/25/03 11:03 F~ 920 236 7725 Solar Electric
Electric Installation Verification
.2
The mmre of the wo~ ~ o~ (.Check One or Descffoe the Nemrc of Wozk)
..... Kcconnmion ofthe Senticc Eutnu~ Cable. Metro Box, alterations
mcll/~h6n, fixtm.~ ~cm ~lia~/~tFatb~tall~a~. Note: N~~
~~/~.
ol~c~ ~.
The ~ of this work i~ $. 7Y. ~ o
I hm'eby vcri~y lhis work will be performed by fn employee ofl~is company Lud ~ verify
the reconnec~ion / instalhtion vail be done in complisnce witl3 ~r end Electric amle
requirements.