HomeMy WebLinkAboutHVAC /�', CITY OF OSHKOSH No 722325
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Add�ess 12�1 LIBERTY ST Owner SHOWCASE CUSTOM HOMES.INC Create Date 08/02/2006
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
� ._� _ _. ..__�----�,
Fuel ✓,Gas - .Oil__ ' Electnc Solar �'� Solid �
System �✓ New _'� n Replace _Ji ❑ Other �
✓ Forced Air _ � Radiant '� Steam � A/C J � Vent I
Electric �Hot Water _ � Suppl. —�, Con.Bumer 'i
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Chimney Type � _Chimney A � Chimney B ._ _� Direct Vent � Not Applicable �
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Heat Loss As Approved � Q Existing Not Applicable Value
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BTU Rate As Per Plan Q Variable Other —� Value
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Use/Nature NSFR/INSTALL A NEW FURNACE FOR A NEW HOME � -, '�
of Work i�
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Fees: Vaivation $2,975.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: ��� 1 W Date 10/30/2006
� Permit Voided : Parcel Id#1203710000
In the performance of this work, I agree ro perform all work pursuant to mles governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City shongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenVOwner
Address PO BOX 514 OMRO WI 54963 -0 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure (how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh ;:sp�' �
Davigion of Inspection Services � �
P.O.Box 1 l30 ^
Oslilcosh,WI54903-1530 ���•C'� �
Phone(920)236-5050 ��HK� `--{
Fax (920)23h-508A pN rne ve�re2
H1lAAC PERMIT APPLICATION
Ali infonnatio��aPter bold casegories must be provSded.
incom'�lete applications will not Ue processed.
• A lica5ion(s)a�sd ,fee.(s)can be brought to City Ha1l,Room 205 or mailed to Inspection Services,PO Box l 128,
pp t ennit s will result in fees being doubled or$100.00 plus the
Oslilcosh WI 54403-1128. Commet�cing woxk withou p O
normal�ermit.fee,which ever is �eater.
Qli
I ou are a enntracror nt�rticinatine in >ize F'errnit fae Aerounr Svssem ¢rzd have adequate >`unds check hern_
i vnu ivm��_this nr�ocessed ilirou h vo7i�. accour�f
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CON7CRACT�JlB. -E� v{2-�`=��C�`�j�
�'FIECIK �AL� APPLICABI,k:
�T E �A'�ECOR'Y
I�Single Famzly C1Dnplex [7Multi-Family ❑Rental ❑Commercial ❑Tn:dustrial
gyg�7+,iyg �ew ❑Replace
��EA �c,a� L1Electric ❑S�alid ❑Other
❑Oil ❑Solar
TYPE
�Forced Air C]Itadiant C1Steam C7A/C C]Vent C]Elac�ric LlHot Water L7Suppl.�Con.Burner
Y� e'�i�J[��.'BEANG lL]fNE:A�o C7Xes -LINER SIZE _
gc NIANiJF'ACTURER
Note: All cl�imneys shall be sized per tlxe BTiPs i�eing vented.
c��.t,,� gy�� pChimney A ❑Chimney B f�xzecY Vent ❑Ot11er
JHEAT]L4)SS ��5�e���ana �Vaciab e ❑Other Valueble --
[i'I'qJ RATF.
��scxi�°aro:v oF a��x�wo�B�:i�+G�oNr,_ .
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VALUE (Inc�udisag labor and all rx�ateriaYs includim.g light fixtores) �,_�9 7 � c�C/
F.LEC`4'1�LCAL CONTIECACTOR_,_ , �� ❑ G,lecerie installation VerifieaYinn fm�m ateachedpf Rcptacemenc)
F.leclricrtJ ins[nlia/ion nf�vew/replace.mear equi�pment sha![be doxe by Iicens¢d conrcnefor
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3/oz