HomeMy WebLinkAbout0089234-HVAC (furnace) CD CITY OF OSHKOSH No 89234
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3757 GLENKIRK LN Owner ELLEN AMUNDSON Create Date 09/17/2001
Contractor WESLEY HEATING & COOLING INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas J Oil 1 Electric U Solar 1 1 Solid
System ❑ New 0 Replace ❑ Other
u Forced Air J Radiant J Steam u NC J Vent
Electric 1 Hot Water 1 Suppl. Con. Burner
Chimney Type ( ) Chimney A U Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss P , ) As Approved • Existing O Not Applicable Value
BTU Rate J As Per Plan () Variable 0 Other Value 70,000 BTU
Use /Nature SFR/ Install Coleman DGAT070 furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $26.00
Issued By: m Date 09/17/2001
❑ Permit Voided 1
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 -f
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( FD
Division of Inspection Services
215 Church Avenue
P.O. Sox 1130
µ ' Oshkosh, WI 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 9/0//°/
JOB ADDRESS 3 7 5 1 6
OWNER '1.44'0‘J / `Aiii/
CONTRACTOR Wasai'/ idfiVn A6 $ 00G / Aft, .
CIRCLE ALL APPLICABLE
USE CATEGORY
-'SIN .AMI DUPLEX MULTI - FAMILY COMMERCIAL INDUSTRIAL
'`
FUEL :C,A OIL ELECTRIC SOLAR SOLID .
SYSTEM NEW REPLA c, OTHER
TYPE 5 F RCED RADIANT STEAM A/C VENT
ELECTRIC. HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BSING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED clgiISTING NOT APPLICABLE
BTU RATE AS . PER PLAN VARIABLE OTHER VALUE
7 0, prz1
NATURE OF WORK; •
..14Asttie. e,tit iv 4 07Q
VALUE (Including labor and materials) • $ put4E4.44,_,
'1 0 • 00
ELECTRICAL CONTRACTOR Soc4,€- id " V YZ' P't 1UJ fit.
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$ 0 to $1,000 .0 0.„ .».»._ .a .............. ».........:._.. ... _...._.. ................_......._.....$20.00
$1,000.01 to $10,000.00. .................._... _.w ».........__......_._......_ ........ .. .00 for first
$1,000.00 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 $1.00 per $100.00 valuation or part thereof
Over $25,000.00 - .w....,._._.... ----------------.....-......—....$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 $100.00 plus the normal permit fee, which ever is
greater.
09/11/01 03 :40 FAX 920 236 7725 Solar Electric ita 01
9-116--291161 2�M FROM SLEY_ EATINO 41423575 - 2
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Electric Installation Verification 1
0) two) So 1,44 tai
(Electrical Ca eoorNamc)
a 413
oaten) (City) (State) (Zip Cain) t
have bean contracted w palm dactcia iastoUetiaa week >ao1c *WAY #54.nd 6
er.4t4J Aoruothavi game otpttttcoaboaodto)
at the &flowing address: 31 S 7 6 a or•4Kii€ % 14 1
often whose wade will be pee&emed)
The nature of the work coasists of : (Check One or Delcsibo the N� of Week) :
of Re000aoetian or new circa for tepleseepant Heating Piet aat*or A/C Ca dens
Reconnection or new eirenit For replectioad Bleak Water Heater. a
Rocoonecti a of the Service SWIM Cable. Meter BM Owed= tv :aospMaelrs 1
—
Hiking Shies due to ails 1 sat ittspabt(da. Nth New Service
Cables will require a separate permit.
Reconnection OT new tureen for other pent wired appliances 1 flame.
Other .
•
.............._.. 1
•
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The valhta or this wart its ! +a^d . .
i
I hereby miry this work will be performed by an eityloyee of this company and tthrthor wily the
reconnection 1 installation will be done in canrpiiance with insnufactursr sad Electric code
requirements. i
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1
is'y Officer) otter) 44 t 1