HomeMy WebLinkAbout0103254-HVACOSHKOSH
ON THE WATER
.lob Address 3233 BELLFIELD 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 CREATIVE CUSTOM HOMES & DEVELOP
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103254
04/28/2003
Other J
Vent J
Use/Nature NSFR/HVAC for new home.
of Work
Fees: Valuation $4,165.00 Plan Approval $0.00 Permit Fee Paid $68.00
Issued By: Date 08/01/2003
Permit Voided J
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
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.
D~visio~ of
?,O, Box J,
Oshkesh, WI 54903-1130
?ho~e (920) 236-5050
Fax (920) 236-5084
Application(s) and fee(s) car~ be brought to City Hell, Room 205 or ma~led to Inspection Services, PO Box 1128,
Oshkosh WI 54903~1128. C~me~eing w~k ~thout pen~t(~) ~11 r~t in ~es ~g doubled or $100.00 plm the
normal pe~t fee, which ever is ~eat~,
OR
If ~&fl~ a ~~art~c~p,a~h~ ~.~gt~fea deeo,,un~ gvxt~}n a~d ha~ ~uate f~ndg, c, heck here
C I:U~;CK I~ ALL APIrLICA~LE
lxCATEGORY
gle Farr~ly ~Duplex ~Mutti-Fm~aily 12Rental ~Corm~,ereial IDIndustdal
FUEL ~fGas DElectric ~lSolid SYSTEM ~ [=lReplaee
~'[21'OiI 12Solar
)~orced A{r URadiant ElSteam ~A/C I~Veat ~Ele~c ~Hot Water ~8u~l.~Con. Bum~
IS C~Y BEING LI~D :~No D.Yes - L~R, S~E & MA~AC~RE[
Note: All ehi~meys s~ be sized per ~e B~'s being vented.
CmlVlN~Y TYPE
HEAT LOSS
BTU RATE
[3Chinmey A
~lAs Approved
~As Per Plan
[2Chimney B
~]Existizxg
L~V~riable
~Direct Vent
12tNot Applicable
F1Other Value
~Other
Electrical installation of ne~v/replae*~nen~ equipment .*hall be dane by licensed eontrae
a~