HomeMy WebLinkAbout2003-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2215 WALNUT ST
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner ROGER R SUDA
Category 501 - Residential-Air Conditioning
L~ Electric
No
103321
] ~ Replace ] ~ Other ]
L~ Steam
Create Date 08/05/2003
Plan
Solar ] ~ Solid
A/C ] ~ Vent
Con. Burner I
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ suppl.
Chimney Type I~] Chimney A ~] Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~] As Approved ~] Existing O Not Applicable I Value 0
BTU Rate I~ As Per Plan ~] Variable ~ Other I Value
Use/Nature SFR/linstall new central air. *EIV form from Hoehne Electric.
of Work
Fees: Valuation $995.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 08/05/2003
Permit Voided
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.
C~ry of Oskkosh
Division of In~ecfion gerv~ces
P.O, Box I I30
O~hkosl~ WI 5~903d 130
Phone (920) 236-5050
Fa~ (920) 236-5084
RECEIVED
AU6 0 4 2003
All info~afion after bold calegofies m~t be provi~d.
hco~lete applications wiB ~t be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or roamed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[f~p.g_are a con_~ acte2LR-a~r,ti~.~atin~j2t. ~he Pe3L~rrtJ~fee Account_flySte,~ and have adeauat~ fu~ds,~h,eck~er~
~Duplex ~MultgFamily glRenta,l
FUEL ~Gas ~Electric Elgolid S¥STEM
~Oil IZlgol,ar
El.Corm~a~rcial Fllndustrial
TYPE
ZlForced Air ElRadi~nt ZlSteam OMC ZlVem L'lEl~i:ric' Elttot Wafer glSuppl. CICon. Burner
lIS cHrS'INEY BEING LIN]ED EINo [2lYes - LENER SLZE_ & MANUFACTURER__
Nora: All chirm~eys shall be sized per the BTU's bei:ng vented.
CHIMNEY TYPE DChimney A glChim~xey B ElDirect Verst glOther
tlEAT LOSS ~As Approved ElExisting ~Not Applicable
BTU HATE ~As Per Plan ElVariable ElOther Value _
ELECTRICAL CONTRACTOtR
Electric Installation Verification
(Eleelrical Contractor Name)
(Address) (City)
have been contracted to perform electric installation work for
(State) (Zip Code)
(Name of party contracted to~/
at the following address: c~/~' ~JJ~
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Recolmection or new circuit for replacement Eleetric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnecfion or new circuit for the replacement of other permanently wired
,./'/N appliances / fixtures.
ew circuit for the ~d~_'fi~n Of A/C~° an individual dwelling unit (house or the
individual system-t~m a dupi~x or condominium), including required service
electrical outlets.
Other
The value of this work is $ /~, O0 ·
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
(Print Name of Officer)
(Date)