HomeMy WebLinkAbout0105448-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 351 W 6TH 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 RENEE G MOXON
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 105448
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 11/21/2003
Plan
Solar I L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Not Applicable
Value
Value
Not Applicable
Other
75m btu
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
$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 03 02:41p ~HC OSH 235-7550 p.2
City of
Division of Inspection
P.O. Box 1130
Oshkosh, W~ 54903-! 130
Phone (920).236-5050
Fax (926) 236-5084
Aa bold
I~complete a~licafiom
hcaUon s ~ fee(s) c~ be ~ought to b~ ~ali, Koom
Os~osh ~ 54~3-1128. Co~cmg wo~ ~tho~ p~S) ~ll re~t g ~ .
noel ~t f~, w~ch e~ is ~.
OR
~f ~ou are a co~tractor participaIi,g in the Permit lee ~acounr ~Fst~m and have adeouate fun~s, ~beck ~e[e.
if~°uwantt'ispr°cesse~'hr°u~h'ouracc°u~t ~ / /
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CHECK ~ ALL APPLICABLE
USE CATEGORY
.g~ingle Family [3Duplex
E]Multi-Family r"lRenta!
r~Commereial
FUEL E~Gas VIElectric [~Solid SYSTEM
l-lOll ElSolar
~lN~w
ClOther
ElReplace
~o~ced Air r-IRadient r'lSteam OMC UIVem . EIElectric
IS C~Y BEING LINED ~o [3Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CBIMNEY TYPE r'lChinmey A 13Chimney B J~Direct Vent
H3gAT LOSS l-lAs Approved ..J~'Existing I-tNot Applicable
BTU RATE C'IAs Per Plan V1Variable I-]Other Value
DESCRIPTION OF ALL WORK BEING DONE ~/o b~4ff' ./
EIHot Water 12Suppl.
& MANUFACTURER
OOther
~Con. Burner
VALUE (Includhtg labor and all materials including light
ELECTRICAL CONTRACTOR 50/. ~°r ,,r~ ~ ~--2~-/~/~
/F~or applicable projects, an Elec~c Installation Verification form, signal by the Electrical Contractor, must be
attached_ If not attached or not applicable, a separate Electr/¢al Permit is required.
N~ov 18 03 02:41p WHC OSH
235-'7550
FAS HO. 920 ~6 3071
f..lettric Installation
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