HomeMy WebLinkAbout0105256-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2400 MINERVA ST
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Owner NONA G NIMKE ETAL LIFE EST
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A O Chimney B ~) 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
105256
11/11/2003
Other J
Vent J
Use/Nature SFR/Replace furnace. *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 11/11/2003
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 24 03 09:O1a WHC OSH 235 -7550 p.3
City of Oshkosh .,: w
Division of Inspection Services , Y ' c'.
P.O. Box 1130
Oshkosh, WI 54903 -1130 NOV Q 7 2��
Phone (920).236 -5050 {_ � � A` QJI--�
Fax (920) 236 -5084 ON THE WATER
HVAC PERMIT APPLl� T , C ,
All information after bold ca" : 61 be pit - :: ..,.,
Incomplete applications will not be processed.
• 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
JJvou are a contractor participating in the Permit fee Account System and have adeauate ands. check here
if you want this processed throuxh your account f /0 DATE ,,
JOB ADDRESS 900 H' f 4 s % -
OWNER A/O/J/9 /1)//)1k
CONTRACTOR W z s L E y It EA-1 4 6 4 CO 0 L/ A G
CHECK 0 ALL APPLICABLE
USE CATEGORY
Single Family °Duplex °Multi- Family [Mental °Commercial Dlndustrial
°Electric Solid SYSTEM °New eplace
FUEL �CTas
°Oil °Solar °Other
T 0' E
Forced Air °Radiant OSteam DAJC °Vent °Electric DHot Water DSuppl. °Con. Burner
IS CHIMNEY BEING LINED No °Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A V6himney B
❑Other
HEAT LOSS DAs Approved Existing °Not Applicable
BTU RATE OAs Per Plan Variable °Other Value fS t �
DESCRIPTION OF ALL WORK BEING DONE
- W AV. yuA4 4,44 9, aue,4',/ ' Lc-42 C 5 U1-1 4 V – 0
VALUE (Including labor and all materials including light futures) $
(7?a0 0 -OV 3 F. 00
ELECTRICAL CONTRACTOR S 0 L E,Lg;R 1
*or 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
2'~. 03 09:0la IdHC OSH
10/24/03 07:19 FA.[ 92:0 238 7725
235-7550
Solar ElecTric
Electric Installation YerlficatJon
[ hereby vmify d~is wo~ wilt be pmfom~ed bY au eu~t°~e °f ~ c°mpany and ~urti~r v'q ~
th~ reconnect~on ! installali0u writ be d~nc in ce~p~ecc v,,it h ~,'-mh~m:tu~cr and. Electric
Otacer) - ('A~ Nem~ of Of~cer) (Dab=)
p.2