HomeMy WebLinkAbout2003-HVAC (furnace, a/c)(~ CITY OF OSHKOSH No
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 945 hi WASHBURN ST Owner DANIEL BISHOP
Contractor WESLEY HEATING & COOLING INC Category 512 - Ind. & Comm-Both
Fuel ~J Gas ~ ~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 O Chimney B ~ 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 75,000 BTU
Create Date
Plan
~J Solid
Vent
102279
06/19/2003
Use/Nature
of Work
Supreme Video/Replace furnace and central air with Temptar NTC7075BFB furnace and Lennox HS29-036 central air conditioner.* EIV from
So ar E ectr c attached.
Fees: Valuation
Issued By:
$3,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$63.50
Date 06/19/2003
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
OSHKOSH
ON THE WATER
Job Address 945 N WASHSURN ST
Contractor WESLEY HEATING & COOLING tNC
Fuel
System
Chimney Type ~,~ ChimneyA
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner DANIEL BISHOP
Category 512- Ind. & Comm-Both
No 102279
Chimney B O Direct Vent
Heat Loss
BTU Rate
Create Date 06/19/2003
Plan
E~_~s __ ~ ~ oi~ I ~ Electric I ~L~ Solar I ~_J Solid
[] New [~_.R_.e_p!~ce i ~ Othe~ .....
L~J Forced Air J ~]-Rad,ent I LJ steam I ~ ,~c I L~ vent
~l-E~eotric I[~HotWaterI I~Suppl. I I~Con. B,rne= I
~ Not Applicable j
L~ As Approved O Existing
~:-I~- ........ ~) Variable
N oLA_p_p_l?._b.!~_ ....... ~ Value 0
Other I Value 75,000 BTU
Use/Nature
of Work
~upreme Video/Replace furnace and central air with Temptar NTC7075BFB furnace and Lennox HS29-036 central air conditioner.* EIV
om Solar Electric attached,
Fees: Valuation
Issued By: ~
$3,900.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$63.50
Date 06/19/2003
In the performance of ~J~ work, I agr/~/to pe,rform all work pursuant to rules governing the described construction.
Signature //--"¢..GL~ ~z--~ Date
Agent/Owner
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
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 P~rmit fee Account System and have adequate funds, check here
if you want this processed through your account [~
$OB r m ss qYs /V. 5r-
CHECK ~1 ALL APPLICABLE
USE CATEGORY
V1Single Family []Duplex E]Multi-Family
VlRental J~ommercial 12 Industrial
FUEL -~as VIElectric VlSolid SYSTEM I-1New l~eplace
V1Oil rnSolar DOther
ced Air VIRadiant F1Steam ~A/C 12Vent . VIElecthc
IS CHIMNEY BEING LINED UlNo l~BYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
VIHot water V1Suppl. glCon. Burner
& MANUFACTURER ~ 9/~'}/'
CHIMNEY TYPE UIChimney A J~himney B t~irect Vent FIOther
t{EAT LOSS V1As Approved K~Existing ~]Not Applicable
BTU RATE E]As Per Plan V1Variable F1Other Value 7D-? t9~90 ~ 72,J
DESCRIPTION OF ALL WORK BEING DONE
ELECTRICAL CONTRACTOR 6' OL/8~ owl ~5,r-,~__./
)~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
06/17/03 11:34 FAX 920 236 7725 Solar Electric ~01
Electric Iustallation Verification
(B'lec~cal Coi~h~cior N~e)
:Addr~) (Ci~) (~tc)
~d H~ fiX~ ~ to ~ / sO~t ~t~afion. Note: N~ S~
~cu Cabl~ will ~ a s~e p~mic
~ph~ / ~res.
New circuk f~ thc ~on of~C to ~ indigen[ ~e[lf.E ~[~ (~ or
~di~d~ ~tc~ ~ a ~1~ o~ ~n~), ~l~g~ s~
cl~c~ oudc~.
O~cr
~c v~ue 'this wools ~ ~' ~
~ ufComp~y Offi~)
OSCJ&- SB;~ HSO 3H~q
to) .
he