HomeMy WebLinkAbout0084235-HVAC (furnace) (1) CITY OF OSHKOSH N 84235
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 350 S KOELLER ST Owner MIDAS INTERNATIONAL CORP Create Date 12/08/2000
Contractor WESLEY HEATING & COOLING INC Category 510 - Ind. & Comm - Heating & Ventilating Plan
Fuel ✓ Gas Oil I Electric Solar I Solid
System l New ✓ Replace Other
11 Forced Air I Radiant Steam NC Vent
Electric I Hot Water j Suppl. Con. Burner
Chimney Type '‘) Chimney A ( ) Chimney B • Direct Vent ( ) Not Applicable
Heat Loss \ ) As Approved • Existing O Not Applicable Value
BTU Rate '‘ ) As Per Plan () Variable 411 Other I Value 75,000
Use /Nature MIDAS MUFFLER / REPLACE OFFICE FURNACE - EMERGENCY' Sealed Combustion, no duct work changes. (No electric permit
of Work required- received installation verification signed by Solar Electric)
Fees: Valuation $2,300.00 Plan Approval $80.00 Permit Fee Paid $39.50
Issued By: Date 02/13/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number (920) 468 - 6951/235-
12 -08 -2000 2:15PM FROM WESLEY_HEATING 4142357550 � �'��i,,,�lv,, 4� 4�
P.1
\. a y_ - 71 (,/2441 i.) 0- C/�r7LG/
Division of Inspect .on services / �� ' � ' % , J L , i ( . . � � � i 4(1111-4 � We/
215 Church Ave hue n�,� n
P.O. Box 1130 Q. 44,- CL' art a35 6 g s 1 .
Oshkosh, wZ 54 903-113 0 �`� `, � ( /�� ,,j
Pax 8 (920) 236 - 5084
�vSL�S 1 ��6 • I.V�L�N�.
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All feldBJinformation after. bo-I.d.categoriea_ must -be provided_
Incomplete applications will not be processed.
DATE l ' /0P
-JOB ADDRESS /1 / D «
owN$R 3 CO S. kaka ,- S
CONTRACTOR W LS - t Y l7 h i A 6 S 044264/J4
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI - FAMILY '+ .� INDUSTRIAL
FUEL OIL ELECTRIC. SOLAR SOLID
SYSTEM NEW ( OTHER- -
TYPE ORCED RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be s ized per the . BTi3 f B • being vented: __ _
CHIMNEY TYPE CHIMNEY A CHIMNEY $ ID RECT VE-' OTHER
HEAT LOSS AS APPROVED EXISTINC/D NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE T ER V UE 75;
7N .41,,,,,1137 OF WORK: ' �. -Wi de, 1 t
VALUE (Including labor and materials). $.44'5470. Q
ELECTRICAL CQ,(QTRACToR SD c#1 to t - $ E ., '9b '4,ek Atta
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1, 0 0 0.0 0......»............»....-...--....-...-..........-....._..... ..............._-.»........ ....._..:...._...............
$1,000.01 to $10,000.00
S20.00 for first.
$1,00a.00-plus $1.54 per $100.40 valuation or part thereof
$10,000.01 to $25,000.00
$155.00 for first
$10,000. -00 plus $1.00 per $100:00 val_uation.or part thereof
Over $25,000.00 $305.00 plus $0.50
per:Si0.0.a(1valuation or part thereof
• Submit payment with application, Fai1 ure tv pay within 3D days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
12 - 08- 20002: 15PM FROM WESLEY_E -AT I NG 4142357550 P. 2
12/05/00 15:20 FAX 820 236 7725 Solar Electric Id U1
2- -20BB 2:3t1P44 FROM wESLEY_I€ATING 4142 7550
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Electric Itsst*UatfOtt Verification r
m (WO) S8 mie Ezmat
(BNtbtccal Contractor Nemo)
3 043 3,p,OOxs et. Gat, , M S 9 0 Y
(Addrtss) - (City) Ow): P
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have bees oosersered to perform electric installatio0 week for WIS
Kt Atop F A li. (Name ofpscty wrra+ a) i
at &ll address: 3 so . J • Ko�t.� -�.�- Ls r'
The nature (tithe work consists of (Check - floe or D the NeverotWoity
•
Reconnection ornew'circuit for rep} a Phftandtor -
Reconnection or new circuit for rcltiacesnelt Electric Water Rater- and
Reconnection attic St mce Q oe- bls; : aeration a to - •
lighting Rxtwes datum siding / soffit installation. Note: New Service -
Cables wart quiT4 erase permit:
Reconnection or new circuit for other permanently wind appliances / fixiom
•
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The value ofthis work isS OD. 6d
i hereby verify this work whit be performed by ea smpioyee of this company and further verb
reconnactionlinstallationwilltodenciocompliancamarmaraifectuver teed Electric to*
requirements.
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( • f " Company-046064 fanny of Othe06- t
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