HomeMy WebLinkAbout083322 - HVAC (furnace) (9 CITY OF OSHKOSH No 83322
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1612 MT VERNON ST Owner GEORGE C GARCEAU Create Date 10/24/2000
Contractor WESLEY HEATING&COOLING INC Category 500-Residential-Heating&Ventilating Plan
Fuel ✓ Gas 1 Oil I Electric 1 Solar I Solid
System New — 1 ✓ ltee 1 1 Other
✓I Force it Li Radiant ; Steam A/C Vent
Electric 1 Hot Water 1 Suppl. 1 Con. Burner
Chimney Type ; ; Chimney A ( ) Chimney B * Direct Vent O Not Applicable
Heat Loss ( ) As Approved • Existing ( Not Applicable Value
BTU Rate ( As Per Plan `) Variable ! Other Value 75,000
Use/Nature of W7:,LACE.FURNACE required-received of Work ic permit required-received installation verification signed by Solar Electric)
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $48.50
Issued By: S (3 Date 12/08/2000
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-
10-23-2000 2:04PM FROM wESLEY_HEATING 4142357550 P_ 5
O f )-
/till DiS Churl of Inspection son Services
(\ 215 Church Avenue
P.O. sox 1130
��/I—I��Jj�'J�I H 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
// 3 / 00
/
JOB ADDRESS / 4' 1? H r 6'EieN o,J Sr
OWNER 6E o26 E 64 CER-f/
CONTRACTOR WESLEY /{E-A--r/-16 4 Cove-v/4)6 .
CIRCLE ALL APPLICABLE
USE CATEGORY NI GLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL (GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW L�tEPLAA OTHER
--
TYPE FORCED RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
'
IS CHIMNEY BEING LINED LINER SIZE 7 L 6r MANUFACTURER/="1 "6
Note: All chimneys shall be sized per the BTU' s being vented. Fare_ rV41' , . Atit rre.,e_
CHIMNEY TYPE CHIMNEY A CHIMNEY B DDIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE 75. 000
NATURE OF WORK:
CAW-fa-a fe-A.4-4-4,0--6
VALUE (Including labor and materials) $ °2g00. 00
so c/ -e it /e - .164. frce49 il"AIN Y/n16 S,'( `�
ELE(:2ICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors,
Valuation Fees
$0 to $1,000.00....__ $20 .00
S1. 000.01 to S10, 000 .00 ._............._._....._._...........$20 .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 $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.
10-23-2000 2:05PM FROM WESLEY_HEATING - 4142357550 Pb.
10/23/00 13:38 FAX 920 238 7725 Solar $lectrlc a 1101
10-23-2000 12:51P1.1 c5 FROM WESLEY-HEATING 41 42367 p ij
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OOAAeO Wt 3402-1170
Q!}�CQfH WI.
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Electric Installation Verificative
(I)(W ) Jo(-me eGec.Tie/C.
(Electrical Contractor Name)
3 y y 3 S o ales f?b 0.5/1rays11, Wt S 1-9osf
(Ammo-
(City)(City) (Stare) (Zip Code)
w
have been contracted to perf+wm electric installation work for
E,u.e f 110 -rfAio 4 CooL606
(Name of party contracted to) •
at the following address: / !s I. h r V ,41 oA) Sr aSf f ic O ybr
(Address where work will be Performed)
The nature of the work consists of: (Cheek One of Describe the Nature of Work)
✓ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
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 e 1
Cables will require a separate permit.
Roman :siert or new circuit for other aermaneutly wired appliances/ fixtures.
Other
L n/
The value of this work is S c7 .
II �
I hereby verify this work will be performed by an employee of this company and Anther verify the ' t
rocoanection/installation will bh done in compliance with manufacturer and Electric code
requirements. r
Cifreaavir., to
(Shea f Com:mew Officer) (PrrnPRart a fOfftcer) (Date) {
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