HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 665 W 4TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
WESLEY HEATING & COOLING INC
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner PHYLLIS J JUNGWIRTH
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ 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
105447
11/21/2003
Other
Vent J
Use/Nature SFR/EMERGENCY INSTALL/Replace furnace. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$2,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$39.50
Date 11/21/2003
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.
~v 18 O~ 09:lSa ~HC OSH 2~5-7550
Division of Inspection Services
P.O. Box 1130
O~hkosh, W~I $4903-1130
Phon~ (920)2364050 NOV
Fax (920) 236-5084 .ck~,ff'} ~. ~ ~',,4/6 7~ / ~9
All ~o~don ~ bo~d ~c~o~ s ~ ~ ~,~
~co~letc applicafio~ ~II ~ot be processed.
Apphcafion(s) ~d fee(s) o~ be brou~t to Ci~ Hall, Room 205 or ~iled ~ ~fion S~s, PO Box 1128,
Os~sh WI ~903-1128. Co~ work ~thout ~it(s) ~31 rcs~t in fc¢s ~S doubl~ or $100.00 pl~
noel ~t f~, w~ch e~ is ~t~.
OR
[f Vou are a contractor participatin~ in the Permit fee ~ccount System and have adequate funds, check here
if ~ou want this processed through your account ~
JOB ss
CHECK ~ ,~! J. APPLICABI~
SinCATEGORY
gle Family [3Duplex [2Multi-Family [3Rental [2Conunereial [2Industrial
FUEL l~Gas r'lElectric ~Solid SYSTEM DNew .l~l(eplace
ElOil [3Solar DOther
~o~ AJ~ [3Radiant [3Steam FI)dC ElVent . i-lElec~c FlHot water DSuppl.
IS Ct~MIVEY BEING LINED~o DYes - LINER SIZE ..... & MANUFACTURER
Note: All chimneys shall be sized per lhe BTU's being vented.
FlCon. Bumer
CHIMNEY TYPE FlChirnney A DChirnney B J~l~irect Vent FlOther
HEAT LOSS I-lAs Approved [~h~isting EINot Applicable
BTU RATE EIAs P~r Plan DVariable I-IOthcr Valtm
)zs vnos ov womc !
VALUE (Including labor and all materials including light £txtur~s) $
ELECTRI/CAL CONTRACTOR
C
/iS For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a s~parate Elezlrical Permit is required.
9/02
;.8 03 09: isa I,IHC: OSH
11/17/03 08:$4 FAX. 920 238 77Z$
235-?550
p.l
T O,V'e) .
l~leetric Installation Verification
I h~reby veril~ t~s ',voit will l~ p~d by an ~idol~ of Ibis ,;~h~y
~.. _,~co__~_u-eedon / ~-_u.n_,.llafion will be clone in .-~,~. ]~ wifn mnmafa~turct
r~uir~acu~
(Prilii Nime of Ofti~)