HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1614 RIVER MILL RD
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 J BROTHERS ETAL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ 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
105138
10/24/2003
Other J
Vent J
75M BTU
Use/Nature SFR/EMERGENCY INSTALLATION/Replace furnace with cracked heat exchanger. *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 11/04/2003
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 21 03 02:57p WHC OSH 235 -7550 p,2
City of Oshkosh
a im _®
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 s I
Fax (920) 236 -5084 E/17 E 2���Cy 47---11:17T171
l
ON THE WATFR
HVAC PERMIT APPLICV1
All information after bold categories •e rovided.
Incomplete applications yr t • MENT
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Ilfs1366.144ggces, PO Box 1128,
• Oshkosh WI 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
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account (l
DATE O b 1
JOB ADDRESS 'to P /L/ /nI LL Rb
OWNER �. Fe B/€C r7C,es
CONTRACTOR WES L � y � F ,- r/ , j 6 4 aao ti n16
CHECK ® ALL APPLICABLE
USE CATEGORY
•Single Family ODuplex ❑Multi - Family ❑Rental OCommercial ❑Industrial
FUEL .Gas ❑Electric ❑Solid SYSTEM ❑New - teplace
0Oi1 ❑Solar pother
TYPE
forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED.$6o ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A OChimney B :.abirect Vent DOther
HEAT LOSS DAs Approved - OExisting ONot Applicable
BTU RATE ❑As Per Plan ❑Variable •$erther Value 75; DOD 61-1)
DESCRIPTION OF ALL WORK BEING DONE
t iir9.tfli 1n Stra/ en 1 TFPu9te Folz4Ji4Gg vV; TH UP1I -C Eb
r EXe l -A-4(, W/ &./e e C /WI 07S" !1 F A)/9 -
VALUE (Including labor and all materials including light fixtures) $ D 0 00 $ 3 2 • 0
ELECTRICAL CONTRACTOR SO L.
XFor 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.
9/02
Oct 2! O~ 02:57p bJl-lC O~;H
235-7550
FAectric Installation Verification
The na~e of the work ~t~m of; (Cber.~ On~ ~r Desefi'oe the lqam~ of We~k)
/ _I~eco~n~r new c~i~ for ~H,,~ Plant ~d/or .~C C. ondm~.
~ P. ecormeCtion ornew eiz~ui! for t'~~c Water ~ er pow~'vtaltlM
T~ vah~ of this ,~ork is S. /$~. ~0 .
I hereby ver~ this wo~. will be pc~nned by sa ,'-~o. yce of this compa~ md fresher vai~
the reconnecfio~ I installation will b~ done in complia~e ~ ~ and ~ ~ge
requkeme~ts.
(Sign~2~ of Compa~ OffioeO
O~at l~Igne of Otlleer)