HomeMy WebLinkAbout0091941-HVAC (furnace & a/c) I CITY OF OSHKOSH No 91941
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1222 MONROE ST Owner JAMES B DAVIS Create Date 12/21/2001
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel 111 Gas 1 Oil Electric Solar U Solid
System r] New Q Replace n Other
IJ Forced Air u Radiant U Steam U A/C U Vent
Electric 1 Hot Water 1 Suppl. 1 1 Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss ) As Approved • Existing U Not Applicable Value
BTU Rate ) As Per Plan 0 Variable 0 Other Value 75m btu
Use /Nature SFR/ Install furnace& 2 1/2 ton CAC coil.
of Work
Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $45.50
Issued By: II W. Date 12/21/2001
0 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 4
•12 -17 -2001 1 :34PM FROM WESLEY_HEATING 4142357550 P.2
- 10) Division Of Snspection Wvices
21S Church Avenue
P.O. nox 1130
°411;1E3 , oshkosb. WI 54903 -110
F Fax 1 (9201 236 5084
Phone 19201 23 & - 5O4S
HVAC PERMIT APPLICATION
All fields /information after bold categories Faust be provided.
Incomplete applications will not be processed.
DATE ,A ( r 101
4708 ADDRESS I 410 Rot s r
OWNER 8 1 -Inl(/ u ts
CONTRACTOR wg5LSY 144-7746 4 C-401446
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL K.- OIL ELECTRIC, SOLAR SOLID
SYSTEM NEW OTHER
TYPE CED Ax!t RADIANT STEAM A/C VENT
ELECTRIC T ROT WATER SUPPL. CON BURNER
IS CHIMNEY BEING LINED ( LINER SIZE 3 rr MANUFACTURES l "
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
ETU RATE • AS PER PLAN VARIABLE OTHER VALUE 1 5, a'
NATURE OF WORK:
� Ars F'in'n► Y ,Qo x u '3 -7S a VA. MA) C c
( ePwo-tdit rFQi- pior—)
VALUE (Including labor and materials) $ �7t & /,`
ELECTRICAL CONTRACTOR 5 0 L./he, S1r�; ,d. te,„ mtt � 7 A- ,,, LLC.7`
new/replacement equipment shall be
/ P q p do by
- licensed
installation of new re a ui h e
contractors_
Valuation Fees
$0 to 51.000 .00. ..».., ., $20.00
$1,000.01 to $10, 000 .00».»». for first
$1,000.40 plus $1.50 per $100.00 valuation or part thereof
$10,000_01 to $25,000.00_,------. $155.00 for first
$10,000.00 plus 31.00 per $100.00 valuation or part thereof
Over $25, 400.44..... ,..._._ _...._...». » »........... -_ -_ -- .. $305.00 plus $0.50
per $100.00 valuation or part thereof
• Submit payment with application_ Failure to pay within 30 days will result in
fees being doubled or 5100.00 plus the normal permit fee, which ever is
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