HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
1318 WASHINGTON AVE
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 STEPHEN/VIVIAN HAZELL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104645
10/02/2003
Other
Vent J
75m btu
Use/Nature SFR/EMERGENCY INSTALL/Replace furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$24.50
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.
~¢t 02 03 08:55a
I~HC OSH
235-?550
Ci~ of Oshkosh
P.O. Box 1130
Os~os~ ~ 54903-1130 ~ ~
Phone (920) 236-5050
HVAC PERMIT T ,.,
~co~l~tc applications ~g~sse~.
~ Application(s) ~d fee(s) ~ be brou~t to Ci~ Hall, Room 205 ~ ~1~ to ~fion S~s, PO Box 1128,
Os~sh ~ 54903-112& Co~en~g w~k wflhout p~t(s) ~11 reset in f~ ~g doubl~ ~ Sl 00.00 plus ~e
no~ p~t tee, w~ch ev~ is ~t~.
OR
[ ou are a contractor arti iatin in the Permit ee dccount S stem and have de uate unds check h re
coyrRAcroR CL¢ ¢ ¢
CI~ECK I~I ALL APPLICABLE
USE CATEGORY
~Single Family nDuplex
~Mulfi-Family UIRental
FUEL ~Gas BElectric E]Solid SYSTEM
[]Oil E~Solar
E
~oomEed Air []Radiant [-1Steam VIA/c [Vent E]Electric
IS CHIMNEY BEING LI~ED ~qo {3Yes - LINER SIZE
Note: All chimneys shall be sized pet the BTU's being vented.
~Commercial [~Industrial
V1New ~RePlacc
OOther
[]Hot Water ElSuppL ~Con. Burner
& MANUFACTURER
CHIMNEy TYPE V1Chimney A V1Chimney B [~Direct Vent ~Other
HEAT LOSS E]As Approved ~Existing EINot Applicable
BTU RATE OAs Per Plan E]Variable [O/her Value, '~'~) ~
DESCRIPTION OF ALL WORK BEING DONE
V'~ Oneluding lab°r and ~1 matefl~s indufling light fixture~) ~_ /~0~.
~F~ applicable proje~s,
a~ch~, If not atmch~ or nor applicable, a s~te Elec~c~ Prat is requ~.
9/02
-~ct 02 03 08:55a UHC OSH 235-7550
p.3
Electric Ins~lla~on Verification
~ ~ ~ n~ ~t for ~ ~ ofo~*~ ~
c1~c¢ ~
of Company OrEc=*)