HomeMy WebLinkAbout0101337-HVAC (central air)OSHKOSH
ON THE WATER
.lob Address 93 EVELINE ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner GAlL L PALECEK
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101337
05/07/2003
Other
Vent J
105 ton
Use/Nature SFR/Install central air conditioner. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$32.00
Date 05/07/2003
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
Division oflnspection
Os~h, W154903-
Fax (920) 23~5084
HVAC PERMIT APPLICATION
All information alter bold categories must be provided.
Incomplete applicatiom wilt not be proce~s~ed,
O o.,rH
THE
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I t28,.
Oshkosh WI 54903-! 128. Commencing work without permit(s) will result in fees being doubled or $1.00.00 plu~ the
nom~_al permit fee, which ever is greater2
OR
l£vou are a contra~pr participating in the Permit f~,e Accou~kt Syg..~.~m and have ade. quate funds, .c. Oeck here
if yOu.want this processed throug~ your account ~
JOB ADDRESS
OWNm~ ~,~
COIffrRACTOR
CHECK t~ ALL APPLICABLE
U.~sinCATEGORY
gle Family FIDuplex ElMulti-Famity VtRental
ElCommercial
Ellndustriat
FUEL t2Gas .~lectrie EISoEd SYSTEM ~ew
t21Oit ElSolar ElOther
~Replaee
TYPE
EIForccd Air E1Radiant 12Steam'linC UIVent F1Electric EJHot Water Elguppl. EJCon. Burner
IS CHIWINEY BEING LINED~o F1yes - LIN'ER SIZE
Note: Ail chiumey~ shall be sized per the BTLPs being vented.
& I~d'~rUFACTURER
CHIMNEY TYPE l-tChimney A E]Chimney B VlDirect Vent FIOther
HEAT LOSS l-lAs Approved IDExisting -~J~ot Applicable /, ~ r~A)
BTU RATE EtA_s Per Plan ~Variab!e ~her Value
,gscaumo wom
a/o~
~Apr
OiIil~li'V, II
Electric Installation Verifieatiou
Thc value of thi~ work is $ ....
I b~cby vecffry ~ work will bc peffo~_~ by afl ~..,~y~ oflt~s company and ~ verify
the ter. o,~ec~on I instalialion ~'ill ~ done in complialm~ ~ mmaufaetm~ and EJeetr~ code
- O¥,~,r,.;,e~Omee0