HomeMy WebLinkAbout0101361-HVAC (space heater)OSHKOSH
ON THE WATER
.lob Address 2222ALGOMA BLVD
Contractor WESLEY HEATING & COOLING INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RUTH M GEHRKE TRUST
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101361
05/08/2003
Other J
Vent J
15m btu
Use/Nature SFR/EMERGENCY INSTALL/Install replacement 15m btu space heater.
of Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 05/08/2003
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
OS 03 02:15p
City of Oshkosh
Division of Inspectiou Service*
P.O. Box 1130
Oshkosh, WI $49034 130
Phone (920) 23~50
F~ (920) ~6-50~
WHC
OSH
HVAC PERMIT APPLICATION
All iaformatiou after bold categories rtm~t be provide~
Incoraplete applications will not be processed.
p.2
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serxdces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work w/thout permit(s) will result in fees being doubled or $t00.00 plus t_he
nom~aI permit fee, which ever is greater.
OR
I_f.you.are a ..contractor par.t, icipating in the Permit fge Ac.coun~t System and have adzquate funds, check here.
(f you want (his processed through your a~co~nt ~
CHECK I~ ALL APPLICABLE
USE CATEGORY
El~ingle Family r']Duplex
nMulti-Family []Rental UlCommercial IZlIndustrial
FUEL ,_ig~G-as EIEleetrie FlSolid SYSTEM ONew ~eplace
EIOil F1Solar EIOther
TYPE
,~J~PorcedAir []Radiant F1Steam EIA/C OVent EIElectric EIHotwater FISuppl.
IS CHIMNEY BEING LINED. I~o FlYes - LINER SIZE & MANUFACTURER..
Note: Ail chinmeys shall be sized per the BTU's being vented.
CIttMNEY TYPE ElChinmey A .ElChimney B l~irect Vent r3Other
HEAT LOSS l"IAs Approved )~J'Existing nNot Applicable
BTU RATE EIA~ Per Plan EIVariable ElOt/vgr Value / ~-~; 0 O0 ~
EICon. Burner
DESCRIPTION OF ALL WORK BEING DON~E
V~ (Including labor and all martials including light fixtures) $ ~ ~;~' ~69
ELEC~C~ ~N~OR M O~C ~ ~43 ~
E For applicable ~ojec~, an Elec~c hstallation Verification f~, ai~ed by ~e El~ffimi Con,actor, must
a~ched. If not a~ehed or not applimble, a s~ate El~ffical Pe~t is required.