HomeMy WebLinkAbout0101164-HVAC (boiler)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1623 EVANS ST Owner NORBERT J METZEN
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 O Chimney B ~ 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 75M BTU
No
Create Date
Plan
~J Solid
Vent
101164
05/01/2003
Use/Nature SFR/Replace existing boiler with a Lennox boiler. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$47.00
Date 05/01/2003
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
~pr 1,~ 03 08:31a ~HC OSH 235-?$50
City of Oshkosh
Division of Inspection Services
P.O. Box I t 30
Oshkosh,. WI 54903-i t30
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold eal~gories mugt Iae provided.
Incomplete applications will not be processed.
Application(s) and fee(s) eat: be brought to City Hall, Room 205 or mailed to Inspection ierdces, PO Box 1128,
Oshkosh WI 54903-! 128. Commencing work without permit(s) will result in fees b~ing doubled or $100.00 plus the
normal permit fee, which ever is greater:
OR.
~yOtt are a contractor partic, ipating in the permit fee Account System and. have adequate funds, check her_e
if Y°u want this processed through your account []DATE /~/'v~ t / 0a~
COtVrRACYrOR {,qff5 t-~cY
usz O~rzgo~x
~Sin~e Family DDuplex
RECEIVED
PlAY 0 1 2003
IZlMulti-Family ElRental
FUEL .lS]Gas DE]ectric EtSolid SYSTEM ~New ~eplace
il VISolar IZIOther
IZtForced Air l-tRadiant IZ1Steam OMC t-lVent ClFAeetric t Water !21Suppl,OCon. Burner
IS CHI3qlNE¥ BEENG LINED ~l~4o OYes - LINER SIZE ' & MANLVFA~~
Note: Ail chimneys shall be sized per Ixhe BTU's bffnvg ye.ri_Lc.d,
CFIIMNEY TYPE
HEAT LOSS
BTU RATE
[2tChinmey A ,~.hirrmey B ElDireet V~t IDOther
I-lAs Approved ~xisting l'lNot Applicable
E1As Pex Plan IZlVariable El~)ther Value __
~,ESCVamO-~ or azL wo~ ~ExxO ~)O.~_ ~
VALIJE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR..
O__~ ~ £1e~trie lm~tallali~n Verification f~rm Itlllch~l(lfR~pl:cem~a~)
El '~caf installation of newZ. eplacement eqMprnent sPm!l be. done by ficer~ed contract,
04/~7/03 14:D$ FAX 920 238
~C
E~VED
MAY 0 1