HomeMy WebLinkAbout0105139-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 165 FOX FIRE DR
Contractor WESLEY HEATING & COOLING INC
Fuel ~J Gas ~
System ~J New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MICHAEL P/MOLLY GANNON
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105139
11/04/2003
Other J
Vent J
Use/Nature SFR/Install central A/C. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
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.
Oc~ 29 03 09:25a ~HC OSH 235-7550 p.2
City o f Os. hko~h
Divi~uon of Impeciion Se~xriees
P.O. Box 1130
Oshkosh, W! 54903-1130
Phone (920).236-$050
Fax (926) 236-5084
RECEIVE
NOV o
~o~l~t~ applicafio~ ~ll not be
APPlication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~rviees, PO Box 1128,
Oshkosh W'I 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 partieipatin£ in the Permit fee/lccount System and have adeauate funds, check here
if you want ~his processed through your account ~
DATE ~/~°v/03
CHIiCK IZ[ AIJ. APPLICABLE
U~ CATEGORY
,~ingle Family K]Duplex OMulti-Family I-IKcntal E~Commercial Olndustrial
FUEL ~Oil l~Gas j~lec~c 13Solid EISolar SYSTEM ~r I"lReplaee
TYPE
E]Forced Ah' [2Rediant I-ISteam ~/~C ~Vent , IIElectxic I-1Hot Water I"lSuPPL l-ICon. Burner
IS L:mMNE¥ BEING LINED'~o [2Yes - LINER SIZE & MANI~A~R
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEy TYPE [2Chimney A [2Chimney B [2Direct Vent
HEAT LOSS VIAs Approved E3Existing E3Not Applicable
BTU RATE ~As Per Plan [2Variable [3Other Value
[2Other
DESCPd[PT1ON OF ALL. WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ '/~O0 O - ~ & ~c~-~. O 6
ELECT?~AL CONTRACTOR ~(~ L. ~ ~-~e<3'/~/~ ~
~ e or applicable projects, an Electric Installation Verification form, signed by the EteclricaI Con~'actor, must be
attached. If not attached or not applicable, a s~parat¢ Electr/eal Perm/t is required.
OtC 29 03 09:2S~ bJHC OSH
10/28/0~ 15:30 FAX 9~0 236 ??25
Oc~ 2B 03 0~:34p MHC Q~H
235-?550
Electrk Installation Verification
(City)
have bcm contractcd to toer[onn electri~ insudl~m
Tim uatur~ of O~c work cone~s~ oE (Check One o~ Des~ibe the Natuze of Work)
p.3
~ valuc of vhle work is S ~-~.:5"*0.0 & ~
~h~ r~onne~don ! imtdletion will bc douc in r~ucc wir~ menuf-e~m~ end Electric ~4,~
- (I~Nm=e of