HomeMy WebLinkAbout0101168-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
101168
05/01/2003
Use/Nature DUPLEX/2034 A (upper apt)/ Install Ducane furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$33.50
Date 05/01/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 -0
Telephone Number
(920) 468-6951/235-6
' R~r 25 03 12:40p WHC OSH 225-?550
City of Oshkosh
Di¥~$fon of Inspection Services
P.O. Box 1
O~hkosh, WI 5490~-1130
Phone (920) 236~5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold calegorie~ must be provided.
Ir. complete applications will not be processed.
com~.Acro~ W£,gA~ ~~ 6
Apptica6on(s) and fee(s) eau he brought to City Hall, Room 205 or mailed to Inspection Servicos, PO Box 1 I28,.
Oshkosh WI 54903-} 128. Cormuencing work without permit(s) win result in f¢¢$ being doubled or SI00.00 plus the
normal permit fee, which ever is greateE
OR
If~v.o.u are a contrMct~o_r.d~artietpa~t?ng in the permit fee .Afeount System and. howe adequate flttl.ds,..check her. e
DATE
NAY 0 1 2005
CHECK ~ AIJ. APPLICABLE
USE CATEGORY
CISingte Family 4~51'Daplex
~Multi-Family I-1Rental
DEPARTNENT OF
~O~qUN} [y DEVELOPMENT
F1Commerciat Dlndustrial
~'~as E3Eteotfic DSolid SYSTEM DNew
FUEL
ElOil E1Sotar UlOther
.-~eplace
~o-oi~ced Air IZlRadiant DSteam r3A/C VAVent ElEleetfic EFrlot Water FlSuppl. UICon, Burner
BEING LINED~o,. [~,Y,,~ - LINER SIZE a MANUFACTURE~
IS
cBrtVINEY
Note: A.q chimneys shall be sized ~ the BTU s being vented.
CHIMNEY TYPE [2Chimney A ElChimney B E~Direct Vent [IOther
HEAT LOSS ElAs Approved t31~xisting EINot Applicable
BTU RATE UIAs Per Plan UlVariable El'Other Value ~'~OtgO
DESCRIPTION OF ALL WORK BEING DO~-E
VALUE (Including labor and att materials including light fixtures) $
ELECTRICAL CONTRACTOR
O,,R ,,~ect.,ic Installation VerLqcafion form attaehed(lfReplaeement)
£1ectr~ca! in.,.mltatton of new/replacemwt equipment ~dl be done by gicen~ contracto
I
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