HomeMy WebLinkAbout0102793-HVAC (a/c)OSHKOSH
ON THE WATER
,Job Address 918 FLORIDAAVE
Contractor
Fuel [J Gas
System [] New
I~ Forced Air
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
102793
WESLEY HEATING & COOLING INC
Electric
Radiant
Hot Water
Chimney A ~ ~ Chimney B
Owner GREGORY R HERDINA
Category 501 - Residential-Air Conditioning
~ electdc 1 I IS°lar
[] Replace
L~ Steam I Ld NC
~'Suppl. I I ,I Con, Sumer
(.~ Direct Vent O Not Applicable
[) As Approved ~[~ Existing
~ As Per Plan (~ Vadable
Not Applicable I Value
Other I Value
Create Date 07/14/2003
Plan
~ Solid
E~_Other
I LJ Vent I
Use/Nature
of Work
IFR/Replace existing central air conditioner with,Armstrong 2-ton unit 14 seer.
*EIV form from Solar Electric.
Fees: Valuation
Issued By: ~ ~
$3,300.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$54.50
Date 07/14/2003
In the performa/~oef thi~ work, I agre oe~e~[~_Egrform all work pursuant to
I ~ ~ - - Agen~Owner
Address 1736 SAL STREET GREEN BAY
rules governing the descdbed construction.
Date
WI 54302 -0 Telephone Number
(920) 468-6951/235-(
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
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-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
/f vou are a contractor participatin~ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [~
SOBAm)m~ss 41£ ?/o?~b AvV
DATE
CItECK 1~I ALL APPLICABI~
CATEGORY
J~[Single Family [2]Duplex F1Multi-Family [2]Rental FlCommercial Fllndustrial
FUEL ~r~as ~Electric F1Solid SYSTEM FlNew ~eplace
DOff ElSolar ElOther
TYPE
F1Forced Air FtRadiant ElSteam ~A/C
rqVent
[2Electric
IS CItlMNEY BEING LINED ~No ElYes - LINER SIZE
Note: Ail chimneys shall be sized per the BTU's beLng vented.
E]Hot Water ElSuppl.
& MANUFACTURER
[2ICon. Burner
CHIMNEY TYPE
I-IEAT LOSS
BTU RATE
F1Chimney A
F1As Approved
I-lAs Per Plan
ElChimney B
~Existing
ElVariable
ElDirect Vent ElOther
F1Not Applicable _
ElOther Value
DESC,~.PTION OF ALL WORK BEING DONE ~
'~ U~-~ ~&bh ~--F~) U/d~T 15~ ~82,r~
VALUE (Including lab°r and all materials inclufling light fixtures)$ ~flfffO'c00
ELECTmC~ co~rrRAcTo~ c;Ov,qt¢ ~
fi(For applicable projects, an ElecUSc Installation Verification form, signed by the Electrical Contractor, must be
attached, tfnot attached or not applicable, a separate Electrical Permit is required.
9102
07/11/03 14:52 FAX 920 236 7725
I(We) !
(AdSre~$)
h~v~ b~'~ ~o~tr~t~l to p~rf.
I
tit the following ~ldr~s:
The ma~'e of the work
Reconnecfion o:
Recondition o'
water hcate:.
~nd lighting
Eu~ C~'
Reeormection ~.:
appliances
New circuit
individual
eleclr/c~l o~:'
Other
Solar Electric
P ,q 5-75,5rl
::llafiOll Verification
: :: Conlxa~torName)
(city)
(Stat~) (Zip Cod~)
.'-',2. D/~9 ('Name of p~'ty conlra~t~ m)
~'~:';~ wh~r~ work will.
, :,' :' .,ne or Descn'be~e Nature of Work)
!- 'm rc?iacem~nt lt~ating Plant md/or ~.~_C Cond~r.
: ,: rcpiaceme~lt ElecI~C W8~' He. at~r or power v~
:l~irance Cable, Mger Ba~, alimations lo rec~ptad~
,. riding / soffit installation, Note: New S~-vic~
,i. a s~ar~ pemait.
, the replacem~t of other permsmenfly ~
· ', '(' to an indiWdual dv,~.lling zmit t~ous~ or the
:', :x or eondomiaium), including required service
The valu~ofthis work is S_
/
I hereby Verify this work w !
the recon~ection / h~stallatic.:
, of Company O~
:.' *m employee of this company and ~ verify
compliance wiCa manufaeturor and ~loctric eodc
bt eeo (Date)
Electric Installation Verification
I (We)
(Electrical Contractor Name)
(Address) (City) (State) (Zip Code)
have been contracted to perform electrie installation work for ~XL~'P
.~/~ ~.~ /t~-,~ ~) /A//~ (Name of party contracted to)
at the following address: '~ / ~ ~LO~t' b,d-
(Address where work will. be performed)
The nature of the work consists of: (Check One or Describe th~ Nature of Work)
v// Recormection or new circuit for replacement Heating Plant andJor A/C Condenser.
Reconnection or new cimuit for replacement Electric Water Heater or power vented
water heater.
__ Reconnection of the Service Ent/'ance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
__ Reconnection 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 $ f ~OO. ('0
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 ma~ode
requirements.
(Signature of Company Officer) (Phnt Name of officer) (Date)
5/02