HomeMy WebLinkAbout0102827-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 4055 SHARRATT DR
Contractor MARTENS HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DONALD J/KAY C O'NEIL
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102827
07/14/2003
Other
Vent J
Use/Nature SFR/Install central air.
of Work
Fees: Valuation
Issued By:
$950.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address P.O. BOX 106 WAUKAU WI 54980 - 106 Telephone Number
(920) 685-0111
City of Oshkosh
Division of Inspection Services
?.O. Box 1130
Oshkosh, WI 54903~1130
Phone (920) 236-5050
Fax (920) 236-5084
Appl~catien(s) and fee(s) can be brought to Ciw Hall, Room 205 er m~iled to hspecde~, ,
1128,
Oshkosh WI 54903~112K Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perm/t fee, which ever is greater.
OR
If you ar~.& contractor partic(~_tin~: Jn the Perry, it fee Account Svstem and have adequate fnnds, check here
~want this procesied thro~_ ~o~r account ~
7-//-03
CItECK 1~ ALL APPLICABLE
kECATEGORY
ngle Family [2Duplex F1Multi~Family ~Rental EICommereial FIIndustrial
FUEL ~Gas [2Electric FISolid SYSTEM ~New IDReplaee
tZI Oil [] Solar DOther
TY~EDForced Air DRadiant ElStearn.~2~dC ElVent DEle~tr/c DHot Water OSuppLDCen. Burner
IS CttlMNEY BEING LINED :~(No ~Yes - LINER SIZE & MANUFACTURER
Note: All chi~rmeys shall be sized per the BTU's being vented.
CHIMNEY TYPE [)Chimney A IDChimney B
HEAT LOSS [Z1As Approved [)Existing
BTU RATE [)As Per Plan F1Variable
DESCILIPTION OF AJ, L WORK BEING DONE~
F1Direct Vent
[lNot Applicable
F1Other Value
DO~