HomeMy WebLinkAbout0102825-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 4050 GREENBRIAR CT
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 SHOWCASE CUSTOM HOMES INC
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
102825
07/14/2003
Other
Vent J
Use/Nature SFR/Install central air.
of Work
Fees: Valuation
Issued By:
$1,050.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$21.50
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 Osltkosh
Division of Inspection Services
P.O. Box 1t30
os os , w, 5490 .m0
Phone (920) 236-5050 ~ ~ ~ fl ll/~ 71
Fax (920)236-5084 .//, ~~J ~x~ ~
All info--don after bold camE~~?ided.
Incomplete ~plications wffi ndt° . ~
Application(S) and ~ce(s) can be brought to CfW HeU~ ~oom 205 or m~l~ t~ S~ces: PO Box 1
O~osh WI ~90~-1128. Co~encing work without pe~it(s) ~11 reset in ~e~ing doubled or $t00.00 pl~ the
no~ p~t fcc, which ever is
If volute ~ 6~n~rac~or par,Hcf,~i,~g in the per~i~ ,fee ~cco~t S~(~,~ and ~ve adequate f~d~, check here
~f ~pu ~.~ ~is proc~ed t~ro~h ~o~r account ~
ALL
CATE O
~gle Family ElDuplex ZIMalfi~FamUy
F1Rental [ZlComrnereial Plln6ustrial
FUEL [aOas IZlElectric F1Solid SYSTEM ElNew I'qReplaee
E]Oil ElSolar FIOther
12Forced Air ~Radiant [:]Steam/~C ~Vent ~Eled~c HHot Wat~ ~Su~l.~Con. Bm~
Note: All chmeys sha~ be sized~er~e B~J s ~ing vented. ' ·
c~EY ~E ~Chim~y A ~Chimney B ~Direet Vmt DOther
~AT LOSS ~As Approved ~Existing ~Not Applicable
B~ ~TE ~As Per PI~ ~Variable ~Oth~ Value
DESC~PTiON OF M~L WO~ BErG D'O~__~
COiYTR.~CTOI~~ O-~ [] Electric Installation Ver~fie~tiolI form attached(IfRepla¢*mem)
ELECTRICAL
Elect~gcal installation of new~replacement equipment shall be done by licensed contracto