HomeMy WebLinkAbout0104646-HVACOSHKOSH
ON THE WATER
.lob Address 717 E MELVIN AVE
Contractor WESLEY HEATING & COOLING INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MR/MRS ROGER H DAWSON
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104646
10/06/2003
Other J
Vent J
1.5 ton
Use/Nature SFR/Install 1 .Eton CAC. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,100.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$36.50
Date 10/07/2003
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.
Civ7 of OsMcosh
Division of inspection Services
P.O, ]Box 1130
Oshkosh, W~ 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~ ff~ 2~5-7550
OCT 0 3 2007
VOp
HVAC PERMIT
All information after bold categories must be provided.
Incomplete applications will not be processed.
Of HKO./'H
· 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) ~11 result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater. '
OR
If you are a contractor partici~atin~ in the Permit fee ACcount System and have adequate funds, check here
if you want this procexsed through gour account
JOB ADDRESS "71 ~7 ~' /~"/.-V / AJ ~'
CONTRACTOR Id Eg CE V I-/E,4-TI,,4 6 ~ O-.LOOL./ ~6
DATE
Cltle. CK I~ ALL APPLICABLE
USE CATEGORY
,~;~nglo Family ElDuplex ElMulfi-Family I-1R~ntal
DCommercial
ElIndustriai
i~tTEL
ElForced
Air F'lRadiant E]Steam ,~A/C []Vent EIElectrie E1Hot Water [2]Suppl.
IS CHIMN'22Y BEING L1NED~ ~lyes - LINER SIZE & MA.NUFACI'L.W, EI~.
Note: All chinmeys shall be sized per the BTU's being vented.
ElCon. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChinmey A r'lChimney B [] Direct Vent E]Other
i-lAs Approved ElExisting FINot Applicable
EIAs Per Plan UIVariable I-lather Value /- ~'"' 7~0~
DESCRIPTION OF ALL WORK BEING DONE
1% - 7-o2
VALUE (Including labor and all materials including light fixtures) $ o~ / ~) ~). ~-) 4~) / ~ ~dj
ELECTRICAL CONTRACTOR ,~ 0 L./bTo.~ ~f- g 0..4~-~-{ ~/
[] For applicable projects, an Electric installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Perm/t is required.
9/02
Sep 2~ 03 O~;ZSp ~H~ OSH
235-7S50 p. 2
~o£a~ ~lectrlc ?01
Eleetric Insto.]Jafion Veriflution