HomeMy WebLinkAbout0102829-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 155 FARMSTEAD LN
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 DAVID A/LAURIE FASHINGBAUER
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
102829
07/14/2003
Other
Vent J
Use/Nature SFR/Install central air.
of Work
Fees: Valuation
Issued By:
$900.00 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 Osl~kosh
Division of Inspection Services
P.O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT
All i~fo~ation after bold catego~es ~st
Incomplete applications wi~ ~ot be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mai}ed to Inspection Services, PO Box 1128,
OshkoshW! 54903412K Commeneing work without permit(s) will result in fees being doubled or $100-00 plus the
normal permit fee, which ever is greater.
OR
.Z_f Vou a___re a contractor part(¢i~Pati~ in the P_ermit fee Account System at~d have adeq[tate funds, check here
i~u want this processed through vosr account ~
)ATE. -11-03
CItECK ~I ALL APPLICABLE
USE CATEGORY
ngle Family ~Duplex ElMulti-Family rlRental ~Commereial rllndustrial
FUEL 121Gas l=lElectric ElSolid SYSTEM E]New E1Replaee
[~Oil ~ Solar E]Other
TYPE
DForced Air E3Radiant [:lSteam/~JC ElVent rlEledthc Elliot Water ElSuppl. E]Con. Burner
IS C~Y BEING LINED i~No rlYes ~ L~R SIZE.
Note: All cldnmeys ~ha[l be sized per the BTU's being vente&
CHIMNEY T'fJ~E
IIEAT LOSS
BTU RATE
E]Chimney A
12As Approved
ElAs Per Plan
E]Chirrmey B
E]Existing
ElVariable
DESCRIPTION OF ALL WORK BEtT~IG DONE
& MANUFACTURER
ElDireet Vent rlOther
ElNot Applicable
[3Other Value
yALU~E (Inel.ding labor and all materials including light fixtures) $ ~' ~ ~
L CON~CTOR ~~ ~ ~ Rice.it [naall~iio~ Verifi~adon form a~ached(If Repiners)
ELECT~CA -~ ~ ....... E}eetri~l ins~allm~n of n~/rep~cement equipment ~hall be done ~ licensM contram
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