HomeMy WebLinkAbout0104704-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1735 ARLINGTON DR
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 JEFFREY C HUPPERT
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
104704
10/09/2003
Other
Vent J
80m btu
Use/Nature SFR/Replace furnace and 3" chimney liner. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$3,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 10/09/2003
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.O? 03 03:37p
WHC OSH
235-7550
p.2
City of Oshkosh
Division of Irlspocdon Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEtVED
Incompleie applications will not be processed.
-J'I-IKO_/'H
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to In~ection Services, PO Box 1128,
Oshkosh Wl 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
lf Fou are a contractor participating in the Permit fee Account System and have adeauate funds, check here
if you want this processed through your account n
AnTE to/ /03
{:It ECK IZ ALI. APPLICABLE
Es} CATEgORy
JI~3ingle Family I-1Duplex I~Multi. Family
ORental E3Commercial [2IIndustrial
FUEL ~as I'lElectfic ElSolid
EIOil [3Solar
~eed Air r'lRadiant [3Steam EIA/C EIVent I-1Elec~ic
IS C~Y BEING LINED I-INo~Y. es . LINER SIZE c~ ct
Note: All chintncys shall be sized per the BtTU s being vented.
CFflMNEy TYPE ElChimney A ElChimney B
HEAT LOSS [3As Approved Jl~E'xisting
BTU RATE I'lAs Per Plan EIVariable
SYSTEM ElNew l~eplace
ElOther
[3Hot Water [3Suppl. EICon. Burner
& MAixVLrFA~R ~L~X/£/'Al ~/-~
~irect Vent nether
E]Not Applicable ~0 /
EYOther Value
DES C gEPTION OF ALL WORK BEING DOb E
VALUE (Including labor and all materials induaing light fixtures) $ ~ ~ 0 ~, O ~)
ELECTRICAL CONTRACTOR ~'0 L/~P_.f_/-~L?'"~_../H_~
~'For applicable projects, an Electric [nstallat/on Verification form, signed by the Electrical Contractor, must be
attached. If not aRached or not applicable, a separate Electrical Permit is required.
9/02
Oc'c O? 03 03:38p WHC OSH
235-?550 p. 3
Electric Installation Verification
Tb~ v~luc or~ work is S. /5'~- ~.&
I hereby verify ~ work will bc performed by aa emplolme of ~ company and fuzthet ~
the reconncction t iastallation will be doee in camplimee with msnt~a~m~ and Blectfi= ,_-,at,_
~fiicet)