HomeMy WebLinkAbout0102560-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 880 CHRISTIAN 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 BRYAN E/JANE M SEMROW
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102560
07/01/2003
Other
Vent J
Use/Nature SFR/Install new central air conditioner, 2 ton. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$38.00
Date 07/01/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1736 SAL STREET GREEN BAY WI 54302 -0
Telephone Number
(920) 468-6951/235-6
City of Oshkosh
D/v/sion of Inspect/on ~crvicc$
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
JUN j
PERMIT APPUGATION
~Qon a~er bold catcsod~ ~ be ~vi~d.
hco~lcic applicafio~ will not bc
· Application(s) and fee(s) carl be brought to City Hall, Roore 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) w/Il result in fees being doubled er $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor oartlcipatiag in the Permit fee Account System and have adequate funds, check here
if you want this processed through your dccottnt n
DATE
CHlgCK [] ALL APPLICABLE
USE CATEGORY
J~Single Family r'lDuplex VIMulti-Family V1Rental
~Commcrcial
FUEL I~Gas J~leetzic EISolid SYSTEM r'lNcw EtReplace
DOll VISolax ElOther
TYPE
mForccd Air E]Radiant DSteam )~C DVent . DEtectfic
IS CHIMNEY BEING LINED..5]No ElYes - LINER SIZE
Note AIl chimneys shaQ be sized per ~he BTU s being vented.
[qHot Water DSuppl.
& MANUFA~R
~Con. Burner
CffIMNEY TYPE F1Chimney A [3Chimney B rlDirect Vent
HEAT LOSS l-lAs Approved ~,x%'tiug E~Not Applicable
BTU RATE VIAs Per Plan I-IVariabie ElOther Value
DESCRIPTION OF ALL WORK BEING DONE
r~Other
VALI_~ (Including labor and all materials including light fixtures) $ ~2 ~ OO. O O
ELECTRICAL CONTRACTOR ~t. ~ /~'L~E~ ~
.~'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 Permit is required.
g-d Ofl~L-~E2 HSO 3H~ eg2:80 gO L2 unc
06/27/03 07:52 PAX 920 236 77215
|
have I
atthe
Electric Installation Verification
(cit~)
een contracted to perform electric installation work for
(Nsme ofparP/M to) ]
ue ofihis work i$ $ c~O0-O 0
I bereb verify ~ work will be performed by a~ ~mplol~e of tills company and fi~her V=r/fy
ibc rec mm~t/on t in~allation will be don=/n comp~ w/th m:~,~--'~,~ret- alld ~l~t~c code
5/l/fr~ o £ Comp~my Officer)
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