HomeMy WebLinkAbout2003-HVAC (furnace; chimney liner)OSHKOSH
ON THE WATER
.lob Address 1264 WALNUT ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Owner ROSEANN M REHM
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO 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
No
Create Date
Plan
L~ Solid
104379
09/24/2003
Other
Vent J
80,000 BTU
Use/Nature SFR/Repalce furnace with Armstrong G2D95AU080V16 80,000 BTU furnace & 3" chimney liner.* EIV from Solar Electric
of Work
Fees: Valuation
Issued By:
$3,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 09/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 -0 Telephone Number
(920) 468-6951/235-6
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OSHKOSH
ON THE WATER
Job Address 1264 WALNUT ST
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
[] Gas 1 ~
L~ Forced Air I L~ Radiant I
E~Electric ~ L.. J Hot Water J
ChimneyType ~ ChimneyA
No
104379
Owner ROSEANN M REHM Create Date 09/24/2003
Category 500- Residential-Heating & Ventilating Plan
I LJ Electric I [~lar I LJ Sotid I
[] Replace J [] Other I
~J Steam I LJ Nc I Vent j
b~ Suppl. I bJ con. Burner I
Chimney B O Direct Vent ~.~ Not Applicable
Heat Loss ~_- As Approved O Existing ~ ) Not Applicable i Value 0
BTU Rate ~ As Per Plan (,2 Variable ~J~ Other I Value 80,000 BTU
Use/Nature ~FR/Repalce furnace with Armstrong G2D95AU080V16 80,000 BTU furnace & 3" chimney liner.* EIV from Solar Electdc
of Work
Fees: Valuation $3,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
By: ~ Date 09/24/2003
Issued
[] Permit Voided
In the perfc~rmance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and t(~c,)ure a~ny nece~/a~oprovals before starting such activity.
Signature .~'~/Z/~J *~/~-~______/ Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 - 0 Telephone Number (920) 468-6951/235-(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, Wt 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) canbe, br0ught to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 t28,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ~
DATE
C/rtECK [] ALL APPLICABLE
USE CATEGORY
~Single Family r-lDuplex {~Multi-Family [~Rental U1Commercial glLndustrial
FUEL ~g~Gas F1Electric ElSolid SYSTEM I~New Ceplace
EJOil F1Solar FIOther
ced Air FIRadiant [ZlSteam F1A/C UIVent r~Electric
IS CHIMNEY BEING LINED FINo ~ves - LINER SIZE
t!
Note: Ail ch/mneys shall be sized per the BTU's being vented.
F1Hot Water F1Suppl. l-lCon. Burner
& MANUFACTURER {zI.-EXI
CHIMNEY TYPE r~Chirnney A 'DC..himney B ~i[lSirect Vent F1Other
HEAT LOSS IUAs Approved ~(l~xiSting ~J~qot Applicable
BTU RATE FIAs Per Plan {'-lVariable FIOther Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~ ff 00. L9 0
ELECTp, ICAL CONTRACTOR
~.For applicable projects, an Electric Installation Verification form, signed by the Electhcal Contractor, must be
ta'Pmched. If not attached or not apPlicable, a separate ElectncaI Permit is required.
9/02
09/23/03 14:40 FAX 920 235 7725
__ Sep 23 03 03=13p ~HC
Solar Electric ~]01
r ~
235-7550 p, ~
Electric Install~tlon Verification
; (We)
Th~ n~ture of the w,m'k consists of~ (Chezk One or ~ ~ N~ of W~)
~ R~on or u~ ci~t ~ ~t~ ~ ~ ~d~.
g~e~oa or new e~t for ~h~t BI~ W~ H~= or ~= v~
wa~ hcat~.
N~w citcmt for the ~di~n of MC ~ ~ i,W~l ~ll~g ~it ~ ~ ~
el~c~ out~
The walue of this work is $ / ~-'~'
I hereby v~ri£y this WOl~ will be perfo~ed by au muploy~ of this m~pa~ly ~ furlher vo'i fy
the r~connection / insutllafion will be done in compliance wi~h mmmfaatur~ taxi l~le~ic cod~
rgquirmen~,
corap~n~ 0~=) 6~ )