HomeMy WebLinkAbout0102173-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1414 FAIRVIEW ST Owner HAZEL M JONES ETAL LIFE EST
Contractor WESLEY HEATING & COOLING INC Category 501 - Residential-Air Conditioning
Fuel ~J Gas J ~J Oil L~J 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 ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 2 ton CAC
No
Create Date
Plan
~J Solid
Vent
102173
06/13/2003
Use/Nature SFR/Install 2 ton CAC. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$30.50
Date 06/13/2003
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
City of Oshkosh
D~v~sfon of f~pe~t~on Servfces
P.O. Box 1130
Oshkosh, WI 54903-I t30
Phone (920) 236-$0~0
Fax (920) 236-50S4
~HC OSH
RECEIVED
JUN 1 3 2003
DEPARTMENT OF
HVAC P E R M t¢I0}~ ~ ~ ~YAl~ ~)ENLOPMENT
All ~e~ afar ~1~ ~ ~ ~ ~.
~co~lete ~iieatio~ will not ~ ~
O tztKO/H
O~ rH~:
* Ap~Iication(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 112g,
Oshkosh WI 54903-1128. Commencing work without permit(S) will result in fees being doubled or $100.00 plus the
normal permit fee, wMeh' ever is greater.
OR
If yOu are a contractor participating in tile Permit fee Account Svstem..an.d_h. ave adeq~tate funds, check
if vo__u ~ant this processed throngh vo~? account [-~
JOB ADDRESS /q /~/ F/c///"~VI~ 5'[-
Cl~CK gn ALL APPLI~
USE CATEGORY
j~ingle Family r'lDuplex
EIMulti-Family
E]Rental
FtCommerciat
Ellndustrial
FL;EL ~C_ras ~lec~'ic [:lSolid
EIOil FtSolar
?
OFor~ Air ~di~t ~St~m ~C OVent
I8 C~Y BErG L~D~o ~Yes - L~R S~E
Note: Alt c~s ~11 be s~ p~ ~ B~% bei~ vented.
C~Y T~E OChimey A ~hi~mey B
~AT LOSS DAs ~proved ~xisting
B~ ~TE ~As P~ PI~ ~V~iable
DESCRIPTION OF ALL WORK BEING DO,NE
SYSTE1H
UIEleetrie
DNew .l~eplace
DOth~ ....
Elffot water 121Suppl. OCon. Burner
& MANUFACTURER
FlDireet Vent
ElNot Applicable
~Ot.her Value ....
DOt. her
(Including labor and all materials including light fixtures) $,, ,1
ELEC'~, CAI., CONT~CTOR_ _50C~:,. ~ ~
~or applicable pr~ec~, an Elec~c ~staitahon Verification fo~, sJ~ed by the EI~ Con~ctor, must be
a~c~d. If not a~h~ or not applicable, a ~pm~ Elec~eal P~t is req~d.
05/~$/03 09:$2 FAX 920
Solnr Elects'lc