HomeMy WebLinkAbout0102117-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1222 KNAPP ST Owner JASON/HEATHER LENZ
Contractor WESLEY HEATING & COOLING INC Category 501 - Residential-Air Conditioning
Fuel ~ Gas I []--~" I [~-Electric I [] Solar
System [] New I [] Replace
~ Forced Air J ~ Radiant I M Steam I ~J NC
~ Electric I b~ Hot Water I b_J Suppl. j U Con. Burner
Chimney Type ~ Chimney A ~.~ Chimney B ~,~ Direct Vent O Not Applicable
Heat Loss ~ As Approved ~ Existing ~t Not Applicable I Value
BTU Rate ~ As Per Plan ~ Variable ~ Other I Value 2 ton CAC
Use/Nature SFPJ Install 2 ton ceniral air conditioner. *EIV ;'u.. from Solar Electric. of Work
No 10~117
Create Date 06/11/2003
Plan
t [~olid 1
[] Other I
b-J vent
Fees: Valuation
Issued By: ~
$2,300.00 Plan Approval $0.00 Permit Fee Paid
'[~ Pemlit Voided j
$39.50
Date 06/11/2003
In the perforn'),ar/ce of this work. I a.~e to perform~l~w0rk pursuant to rules goveming the described conStruction.
.Signature ~~-/~o ~~ .
.' ,~' Agent/Owner
Date
Address 1736 SAL STREET GREEN BAY WI 54302 - 0
Telephone Number (920) 468-6951/235-(
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. 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 ~ou want this processed throu~h your account [-1 -
JO aD SS
CHECK [] ALL APPLICABLE
USE CATEGORY
J~ingle Family IZlDuplex
F1Multi-Family
I"lRental IZICommercial r'llndustrial
FUEL F1Gas ~]~ectric FiSolid SYSTEM ,-~ew FIReplace
FIOil F1Solar FiOther
TYPE
IZlForced Air F1Radiant F1Steam .)~C IZ1Vent IZtEIectric
IS CHIMNEY BEING LINED~"~° FiVes - LINER
SIZE
Note: All chimneys shall be sized per the BTU'"s being vented.
F1Hot water F1Suppl. I-ICon. Burner
& MANUFAC~R
CHIMNEY TYPE
HEAT LOSS
BTU RATE
FiChimney A F1Chimney B FIDirect Vent l-'lOther
l-lAs Approved FiExisting 35~b/ot Applicable
l-lAs Per Plan FiVariable FIOther Value c~- ~ ~ ~'
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR dOC /~¢~
~or applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
08/11/03 07:03 FAX 920 236 7725 Solar Electric ~01
Jun 0S 03 02=33p ~lqC 0SH
23S-'7S50
ut ,,,bicm n t~ i,mp,:~m ~
21 ~, C{,mct' A, vmu~
PO ll,u
rrm
I Care)
Electric Installation Verification
Reconneclion or new circuit for rcy~ent Heating Plant m~l/or A/C Condclll~,
Reconneetion or new circuit for t~placement Electric Wa~er I-lcaler or powcr
water heater,
Reconnecfion of the Service Entum~e Cable, Meter BOX, alterations to
aud lighting I~-tures due to siding / ~offit instal~om Note: Nmv
F~ttr~ce Cables will r~luire a sgp~'~t~ ptm~iL
R. ecomaection or new CirCllit for the replacement of other l~lJtml~mtly
appliances / fixtures.
New circuit for the addition of AJ_._._~ au individual dv~lli#g unit (house or tl~
~ual systems in a duplex or condorainium), including required sm-doe
clcctr~al outtcts.
Ot~er
Thc value of this work is $ c~t~t~, ~0
I hereby vedfy this work will be performed by ~n cmploye~ of this comply ~ furlher vm-iffy
the re. connection / irmallation vail be don, in compliance wilh mautlfaclli~ and lglc~-ic code
(~%q~ of ¢omp~.y Officer)
e of OfficeO