HomeMy WebLinkAbout0101169-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2034 ALGOMA BLVD Owner ARIC M/REBECCA ANONICH
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 ~ Chimney B O 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 50m btu
No
Create Date
Plan
~J Solid
Vent
101169
05/01/2003
Use/Nature DUPLEX/2034 (lower apt)/Install 50m btu furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$33.50
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 ~5 03 12:41p
~HC DSH
City of Oshkosh
D~v~sion o£Insp~ction Services
P.O. Box I 130
Oshkosh, WI 54903-1130
Phone (920) ~6~5050
F~ (920) 236-5084
HVAC PERMIT APPLICATION
Ail hafarmafion afte~ bold categor/es must be provided.
Incomplete applications wilt not be proce~_ _s~l,
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to tnspectiou Serviees~ PO Box l t28,.
Oshkosh WI 54903-1125. Commencing work without permit(s) will result in fees being doubled or $1.00.00 plus the
normal perm& fee, which ever is greater;
OR
If you are a contractor varticipating in the Permit fee Account $~stem and have adequate fitnds, check bee,::
fi_you want thi~ r~roce$~edthrozt~th S, ouraccount [] ~~~~#V~D
JoB Aoi~P~ess 0t 0 ~ ~
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Co~vrR~CTOR, .... ~E,r c~
cn~.cK ~ iLL A~PL~C~LE
HAY 0 ? 2003
0,0~, T OF
· '~vlU~ITy DEV£LOP~ENT
USE CATEGORY
/~Single Family ~fDuplex FIMulti-Family nRental
nCommercial
lDIndustriaI
FUEL ,l~as DElectric FISolifl SYSTEM aNew ~plaee
F1Oil FtSotar ~Other
~2Porced Air r'lR_adiant FISteam F1A/C F1Vent FlElectrie tDHot Water l=lSuppl. ElCon. Burner
IS CHIMNEY BEING LINED~o [:lYes - LINER SIZE & MANUFACTURER
Note: Att chhrmeys shall be sized per the BTU's being vented. '
CHIMNEY TYPE ulChimney A UCh/mney B ~Direct Vent [3Other
HEAT LOSS nas Approved ~l~×isting FINoI Applicable
BTU R&TE FtAs Per Plan l]Variab!e O~Dther Value $-O~ ¢~
DESCRIPTION OF ALL WORK BEING DONE:...
,?d~J~-~ , b ~ ~ ' h~
VALUE (Including labor and all materials Including light fixtures} $ /t ~ 0/~' <~)0 ~
Elec-t~t~ i~$talhttio~ of ~r~t~cem~t equipme~ shall ~ d~ ~ [ic~s~d contr~clor&
3../02
FIpr, 2S 03 12:41p ldHC OSH 2.35-?550
RECEIVED
HAY 0 1 2005
DE?^RTMENT OF
COMMUNITY DEVELOPMENT
Electric Ia~-~ilation Verification
~fi~ ~ ~~ ~ ~~of~~Y~
for ~ ~ of ~ ZO ~ ~~ dw~ um't ~ ~ ~
lhere~ ~ ~ wot~w~k~bePerfozm~ by att cmploIn~e oft~s company and Elec~c co~e'
thc resmancd~ta t iastall~tt will be done in comptiem~ wi~ mam~t'aeA~tmr ~