HomeMy WebLinkAbout0101165-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1148 N EAGLE ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Owner WAYNE G/JEANNE TOLLARD
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
101165
05/01/2003
Other
Vent J
Use/Nature SFR/Install new central air conditioning system with air handler and minimal distribution system. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$68.00
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
City of Os.hkosh
Division of Inspection Services
P,O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All infomvation after bold categories nmst be provided_
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-! 128. Commencing work without permit(s) will result/n fees being doubled or $1.00.00 plus the
normal permit fee, which ever i$ greater-
OR
If you are a c~ntractor F. articipating in the. Permit fee ACcount ~¥stem and. ha~e.adequate_funds, check here
fi_YOU want this processed,,tbrough your account []
7'0
EtMulti-Family
CONTRACTOR ~/~ ~c ~/~ h/
CHECK !~I ALL APPLICABLE
CATEGORY
ingle. Family EtDuplex
ORental [Commercial []Industrial
FUEL ~Oas IDEiectric FlSolid SYSTEM ID'New FIRep!a~e
[3Oil Flgolar ElOther
TYPE
V1Forced Air FlKadiant [lSteam~.~/C IDVent 12Eleotrie DHm Wa~r ~l.~Con. Bum~
IS C~Y BErG Uh~D~No aZes - L~R.S~E ~/~ &
Note: Alt ch~e)~ ~E ~ s~ ~r'~e B~I s ~g v~
CffiM~Y ~E ~C~mey A ~Ch~ey B ~Direct Vent ~O~er ~/~'
~AT LOSS ~ Approved ~Existing ~ot Applicable ,
BTU ~TE ~As P~ Plan ~miable ~O~er Vat~
DESCRIPTION OF ALL WORK BEING DONE .......
--
VAL~ (Indndi~ labor and all mat~iah i~udi~ light fotura) $ ,~'3 0~, ~ ~ .... & ~ -' ~ '
El~al ingtaltation of ~/replac~ment ~ui~ent ~alt ~ done by ~n~ contract
14pr lB 03 DB::3Da WHC DSH
04/17/00 14:08 ?.iX $20 236 ??25
2.35-'7550
Solar Electric
RECEIVED