HomeMy WebLinkAbout0104705-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2017 DOEMEL ST
Contractor WESLEY HEATING & COOLING INC
Fuel [~J Gas ~
System ~ New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MELVIN KLEINSCHMIDT
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O 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
104705
10/09/2003
Other
Vent J
50m
Use/Nature SFR/Replace basement furnace with used furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
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.
0'7 ~30~:SSa
WHC OSH
Ciw of Oshkosh
Division o£Inspeetion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OCT 0 9 20O5
DEPARTN~ENT OF
C%~,~n~T¥ DEVELOPN~ENT
HVAC PERMIT APPLICATION
Aid information after bold categories must bn provided.
I~complctc applications will not be processed.
p.3
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 $t00.00 plus the
normal pen-nit fee, which ever is greater.
OR
lf vou are a contractor participating in the Permit fee .4ccount System and have adequate funds, cheek here
(f Fou want this processed through your account ~
JOBADDRESS ~0(~ ~o~ ~-
co~rrRACTOR ~'g~ /4~,,~6 % CooL.~W6
CHECK [] ~l.i. APPLICABLE
.mCATEGORY
gle Family nDuplcx ~Mulli-Famfly
UIRcntal I-ICommcrcial ElIndustrial
FUEL .,~Gas [3Electric [3Solid SYSTEM [~New ~l~eplaee
OOil E3Solar i-iOther
TYPE
~orced Air DRadiaut ~Stcam nMC ~Vent [3Electric
IS ~y BEING LINED~o DYes - LINER SIZE
Note; Ail chimneys shall be sized per t~e BTU's being vented.
I-IHot water I']Suppl. V~Con. Burner
& MANLrFAC'TURER
CHIMNEy TYPE I-IChimncy A ~Chinmey B t'lDireet Vent [3Giber
HEAT LOSS DAs Approved .45~Existing nNot Applicable
BTU RATE 71As Per Plan [3Variable DOther Value ~0] ~
VESCaUrno oF ALL WOm
YALLVE (Including l,bor an~ all materials ineluding light fixtures) $
ELECTRICAL CONTRACTOR ~L,t~
j~For applicable projects, an Electric Installation Verification form, signed by the Electrical Con~raetor, musI be
attached. If not attached or no~ applicable, a separate Electrical Permit is required.
Oct, 07,~03 09:58a WHC OSH
p.2
~' ~ or uc'w ~t for t'~pln~n~m~lien~n. P~ and/or A/C Cou~nner.