HomeMy WebLinkAbout0105675-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 835 N MAIN ST
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 JOHN J/MARJORIE SCHNEIDER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 105675
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 12/08/2003
Plan
Not Applicable
Other
Solar I L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Not Applicable
Value
Value
75m btu
Use/Nature SFR/ RENTAL/ Replace furnacer. *EIV form from Value Electric.
of Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$42.50
Date 12/08/2003
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 3220 Basler Ln Oshkosh WI 54901 -0 Telephone Number
920-235-6951
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.
O/I-KO/H
City of Oshkosh
Division of Indirection Services
215 Church A~enue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(We)
(Electrical Contractor Name)
(Address) (City)
have been contracted to perform electric installation work for
(State) (Zip Code)
(Name of party contracted to)
at the following address:
(Address where work will, be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Recormection or new circuit for replacement Heating Plant and/or A/C Condenser.
Recormection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Recormection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ /omO. O O
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~i'~a~r~ ~){~ a~pa~y Officer) '~/ (Print Name of Officer)
(Date)
5/02