HomeMy WebLinkAbout0102792-HVAC (furnaces) CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
OSHKOSH
ON THE WATER
· ,lob Address 2002-2016 BOWEN ST
Contractor WESLEY HEATING & COOLING INC
Fuel I,~1 Gas
System [] New
~ Fomed Air I L~ Radiant
I I Electric I I I HotWater
Owner WISCONSIN HOUSING PRESERVATION
Category 500 - Residential-Heating & Ventilating
I ]Electric I
[] Replace I
L~ Steam
I I SuppI-
ChimneyType [.) ChimneyA (,) Chimney B ~[~ DirectVent
I I Solar
LJ NC
I I Con. Burner
Not Applicable J
No
102792
Create Date 07/14/2003
Plan
[] Other I
Vent
Heat Loss ~ ~ As Approved O Existing ~.) Not Applicable I Value 0
BTU Rate ~ As Per Plan O Variable O Other I Value 50m btu each apt.
Use/Nature v~ULTI-FAMILY/ RENTAL/ Install 8 furnaces. *EIV form from Solar Electric.
of Work
Fees: Valuation $12,000.00 Plan Approval $0.00 Permit Fee Paid $175.00
Issued By: ~/IN~ Date 07/14/2003
[] Permit Voided
In the performan~ork, I agr~orm all work pursuant to rules governing the described construction.
Signature *¢~~L~,,~ Date ~- /¢'~'4~ ~'~
~ Agent/Owner
Address 1735 SAL STREET GREEN BAY WI 54302 -0 Telephone Number (920) 468-6951/235-(
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 t30
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKOJH
· 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
I£you are a contractor participating in the Permit tee Account System and have adequate funds, check here
if you want this processed through your account
JOBADDRESS o~O0o2- c~OIG /~OW~4} ST-
OWNER
coma croR
CIIECK RI ALL APPLICABLE
USE CATEGORY
F1Single Family F1Duplex .~/lulti-Family .~ental
V1Commercial
Vllndustrial
FUEL .~as [2Electric E1Solid SYSTEM [2New -~eplaee
[2Oil [2Solar [2Other
..~oFoE
· rced Air [2Radiant [3Steam [2A/C [2Vent [2Electhc [2Hot water [2Suppl. [2Con. Burner
IS CHIMNEY BEING LINEDJ~No [3Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented·
& MANUFACTURER
CHIMNEY TYPE F1Chimney A [2Chimney B ~/Direct Vent FIOther
HEAT LOSS VIAs Approved ~Existing F1Not Applicable
BTU RATE [2As Per Plan [3Variable FtOther Value ~'t9t 000 ~7'U ~/~ /~OT5
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ /o~, fPO0. O0 ('¢/?or'.O0)
ELECTRICAL CONTRACTOR '~6~/-' ~ ~-~¢'~ff-~fl/
~(For applicable projects, an Electric Installation Verification form, signed by the EleeZ~5¢~l c'cmecactor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
O?/09/Og
Jul O~ 03
11:45 FAX 920 255 7725
11:13a ~HC OSH
$o]?r Electric ~]01
I
Electric Installation Verification
(Electrical Contr~t~r Nmnc)
Ad.ess) (Ci~) (S~e) (~p
bec ~n~ct~d to pc~n~ elec~c ~a~ ~k for ~gi ~g~ ~-~J& ~ ~ '
..... ' f
na~e of ~e work ~ o (~ One or D~e ~e ~a~ of Work)
R~on or ~ c~t for ~ent
w~
~on of~e So.ice En~ce ~le, Me~ Box, ~ to ~l~s
~d U~g fix~ due ~ sing /
EnCee C~I~ ~ r~ a
R~on ~ n~ ~t for ~ ~t
appU~ces / fi~.
~ New ci~( for ~ addi~on of ~C
~&~dual s~ ~ a d~pl~ or ~omlni~), ~clud~g ~ s~m
~cal outlet.
O~cr
Thc valu~
I hct~by ~
thc rccor~
ofthisworkis$ ~00, O0
et'iD/~ Work will be performed by an employee ofthle company and further verify
.'ction/ installation will be done in compliance wi~ manufacturer and ilechic co~
~of Company
(pr~4~ N~ae of Officcr)