HomeMy WebLinkAbout0104647-HVAC (furnace)OSHKOSH
ON THE WATER
972 E SUNNYVlEW RD #48
WESLEY HEATING & COOLING INC
Job Address
Contractor
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 JEANETTE ST ANDRE
Category 500- Residential-Heating & Ventilating
L~ 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 O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104647
10/06/2003
Other J
Vent J
70m btu
Use/Nature SFR/Install furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$30.50
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.
Oct O1 03 11:25a
City of Oshkosh
Division o f Inspection Seiwiccs
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
WHC OSH 235-7550
RECEIVED
5I'70& OCT 062003
HVAC PERMIT APPLICATION
~ ~o~on after bold categories ~ be provided.
hco~lae applica~ons will not ha pwc~sed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspcclion Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resuIt in fees being doubled or $100.00 plus the
nomml permit fee, which ever is greater.
OR
l[ l~.ou are a contractor participqting in the Permit fee ~tccount System and haye adequate funds, check, her,,
i[. vou want this proces:~ed through your account ~
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family ElDuplex [3Multi-Family F1Rental
nCommercial
[3Industrial
FUEL ~Oas [1Electric [3Solid SYSTEM [3New ~Replace
FIOil EJSolar FlOther
E
~o~ced Air 13Radiant F1Steam E]A/C OVent DElec~ic
~4o [3Yes - LINER SIZE
IS
CIIIMNEY
BEIlgG
LINED
Note: All chJnmeys shall be sized per"-the BTU's being vented.
IZIHot Water I'qSuppl. eCon. Burner
& MANUFACTURER
CHIMNEY TYPE []Chimney A [3Chimney B
Il[EAT LOSS [3As Approved ~Existing
BTU RATE [3As Per Plan nVariable
EIDireet Vent mOther
FINot Applicable
ElOtherValue 'TPt ~ .~T-/./
DESCRIPTION OF ALL Vi'OR~ BEING DONE
VALUE (Inehtding labor and all materials ineludiug light fixtures) $ / 7-p O~ OC~ ~O.~0)
ELECTRJCAL CONTRACTOR ~ 0 ~ A~ ~ ~ &r'?~' C/
~For applicable proj cots, an Electric Instal-~'~ation~ signedbv the Elee~cal Cnnn-~mcthe Elec~cal Contractor must be
a' tracheal. If not attached or not applicable, a separate Electrical Permit is re~- ~J'~-[~--~- '
9/02
Oct. 01 03 11:24,~ ~HC O~H
235-?550
Electric Insmlhthm Verification
~ ~tur~ ofth~ wo~ comlm of:. (Ll'he~k On~ or Dear'be ~ Nno~ of Wink)
~' Reconnec~ion o~ new r,i,tc~t for mplaf~nem~ Healing p]oqi ancV~r A/C ~.
l~x~ncclion o~ n~w circuit for~c Wsteg I-!~ ~r pow~ vm~l
The~alueof~swo~kls$ ( ~"~- ~ .
I h~eby v~ify this work v~t! be pe~onned by an emp~yce of this core,my amid i'miher veri~
Ge recmmection / installalion will be don~ in ca~pl~ _~_ ~ m-,,.,r,-~,,m~ and Elec~ic
~cluir~nenr~.
'~ig~atu~/f Company Officer)