HomeMy WebLinkAbout0101167-HVAC (furnace & a/c)(~ CITY OF OSHKOSH No
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1049 TYLER AVE Owner CRAIG G VANCUICK
Contractor WESLEY HEATING & COOLING INC Category 502 - Residential-Both
Fuel ~ Gas ~ ~ Oil b~ Electric ~ Solar
System ~ New ~ ~J Replace ~ ~J Other
~ Forced Air I ~ Radiant L~ Steam ~ A/C
~ Electric I ~ Hot Water b~ suppl. ~ 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 0
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 75m btu furnace
101167
Create Date 05/01/2003
Plan
~J Solid
Vent
Use/Nature SFR/Install furnace and central a/c. *EIV form from Solar Electric.
of Work
Fees: Valuation $3,$00.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 05/01/2003
Permit Voided
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 Oshkosh
Division of Irapection Services
P~O. Box 1130
Oshkosh, WI $4903-1130
Phone (920} 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Apptkation(s) and fee(s) caa~ brought'to City-Hail, Room 205. or mailed to Inspection Services, PO Box 1 t28,.
Oshkosh WI 54903-! ~28. Commencing work ~4thout permit¢) will result in fees being doubled or $t.00.00 plus the
normal permit fee, which ever is ~eater;
OR
£f vou,;a're .~t con.tractor t~a.rt, icipatin~ in .the .Permit fee,,Accoun, t System an, d have adequate funds, check he,re,
if ~ou want.this pro. cessed through vour_aacoun,t ~
CHECK 17I ALL APPLICABLIg
CATEGORY
[2!~$ingle Family
CIDuptex OMulti-Family DRentat
FUEL ~as ElEiectric FlSolid SYSTEM ElNew ~eplaee
F1Oil [:lSolar 1ZlOther
~'Po]rced Air EIRadiant ~Steam EtMC EIVent ]~Electric FiHot Water ElSuppLEICon.
Burner
IS CltI~ihvEY BEING LINED ~t~o IDYes - LINER SIZE b" 3 g'~ M32qUFACTUREK ...
Note: All chimneys shall be sized per ihe BTU's being vented.
CltLMN'EY TYPE E1Chimney A OChinmey B ~tSirect Vent EIOther
ItEAT LOSS IZIAs Approved [~E~xisting ' ~N~ot Applicable
BTU RATE I21As Per Plan ElYafiable ~Dther Value
DESCRIPTION OF ALL WORK.BEING DONE
YALIBE (Including labor and all materiats i~eladiag light fixtures)
ELECTRICAL CONTRACTOR
0R, C~}/Electrk lastal!atlo~ Verification form attached(~' Replaeemem)
£lectric4tl ~n.vIatlaffon of new/replacement equipment shall be done by lfcenSed comroett
'FIpr ~I] 03 12:21p hlHC OSH
a4./.28/.0~ 11.:.$4 F&X,.920 238 7725