HomeMy WebLinkAbout0103255-HVACOSHKOSH
ON THE WATER
.lob Address 3237 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
103255
04/28/2003
Other J
Vent J
Use/Nature NSFR/HVAC for new home.
of Work
Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $56.00
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.
City of Oshkosh
Division of Inspection Selviccs
P.O, Box 1131)
Omb. kosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236~508~
AUG 0 1 200J
DEPARTMENT . .
HVAC P,ER MiT APPLICATI O
All information after bold categories must be provided.
Iacomplete applications wffi ~ot be p~ocessed.
Applica~om(s) a~d f~e(s) eau be brought to CiV Hell, Room 205 or m~}ed m hspecfi~ S~ices, PO Box 1128,
Oshkosh WI 54903-1128~ C~eh~g work wi~0ut pm=it(s) will result in fe~ being doubled or $100,00 plm ~e
normal p~it fee, which ever is ~ea~er.
~u ~ a eo~qF. ....~ ' ' ......
CHECK I~ ALL A1P~LICA]~LE
tgCATEGORY
ingle Fa~dly [2Duplex 121Multi-Family DRental FICommereial IDIndustrial
FUEL ~as ~.Electric fflSolid SYSTEM ~4ew IZlReplaee
C~OiI ~Solar ~Other
reed Air ~lLa.diamt
CHIMNEY BEING LIT~ED ;DNo DYes - L~R S~E
No~e: All chimey* sh~ be siged per ~e B~'s be~gg vented.
CHIM~Y T~E ~Chimney A ~Chimney B
~AT LOSS ~As Approved ~Existing
B~J MATE ~As Per Plm ~Variable
DESC~PTION OF ALL WO~ BErG
ElSteam I21A/C 121Vent DBledtric Dttot Water VlSuppl. DCon, Burner
& MANUFACTUREP~
E1Direet Vent DOther
DNot Applicable
~Olh~ Value