HomeMy WebLinkAbout0102824-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 17 SCOTT AVE
Contractor MARTENS HEATING & COOLING
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CHAD A/JULIA I GUTCHE
Category 501 - Residential-Air Conditioning
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
102824
07/14/2003
Other J
Vent J
Use/Nature SFR/Install central air with added ductwork.
of Work
Fees: Valuation
Issued By:
$2,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$41.00
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¢osh
D/vision of Inspection Set-Aces
P.O, Box 1130
Oshkosh, Wl 54903~1130
Phone (920) 236-5050
Fax (920) 236-5084
All ~nfo~fion after bold categories m~t be
Inco~lete applications will not be processed.
Application(s) and f~e(s) can be brought to Ci~ Hall, Room 205 or m~led to hspeefim S~ees, PO Box 1128,
Oshkosh WI 54903-1128. Co~cing w~k ~thout pem~t(s) will result in fern berg doubled or $100.00 plm the
noml p~it fee~ which ever is ~eat~.
OR
lf vo~are a contractor participating in the per~it fee ~ccount S~xtem and have adequate funds, check here
~ou want thi,~ processed through your account ~ ' '
JOB ADDRESS/_~
co , CTO,, Hsrte 5
CHECK [] ALL APPLICABLE
SE CATEGORY
ingle Family ~Duplex FIMulti-Family
IZtRental ElCommercial Dlnr[ustrial
FErEL []Gas l~filecthc ElSolid SYSTEM FINew FIReplace
12Oil 12 Solar 12'Other
TYPE
DForced Air 12Radiant EISteam ~¢~/C rlVent 12Eledtr/c 12Hot Water U1Suppl.12Con. Burner
IS CItlMNEY BEING LINED~Io 121Yes - LINER SIZE . & MAxNIJFA~R
Note: All chitrmeys shall be sized per the BTU's being vented.
CItlMNEY TYPE
HEAT LOSS
BTU RATE
12Chimney A
~As Approved
12As Per Plan
12Chinmey B
UlExisting
[lVariable
12Direct Vent
12Not Applicable
12Other Value
12Other
DESCmXmO wo ar GEms
Electrical installation of new~replacement equipment &hall be done by licensed contraeto