HomeMy WebLinkAbout0109115-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1113 GEORGIA ST
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
Electric
Oil
Radiant
Hot Water
Owner JOSHUA M A BUTCHER/SHANNON M RY
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
109115
07/02/2004
Other
Vent J
Use/Nature
of Work
2T A/C. * Hoehne Electric
Fees: Valuation
Issued By:
$1,557.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$29.00
Date 07/02/2004
Parcel Id # 1303110000
In the performance of this work, I agree to perform all work pursuant to rules 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 strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO 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 Os~osh
Division of lmpection Services
Electric Installation Verification
(Electrical Contractor Name)
(Address) (City)
have been contracted to perform elecffic installation work for
at the following address:
(State) (Zip Code)
(Name of party contractef01 to)
(-A~dress ~ere work will be performed)
The nature of the work consists ot5 (Cheek One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
__ Reconnection or new ckeuit for replacement Electric Water Heater or power vented
water heater.
Reconnecfion 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 addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value oftNs work is $ , d~
I hereby verify this work will be performed by an employee of this company and further verify
the reconnecfion / installation will be done in compliance with manufacturer and Electric code
requi~ments.
~fficer)
(Print Name of Officer)
ate)