HomeMy WebLinkAbout0109312-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1825 WINCHESTER AVE
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 SCOTT A TAPHORN
Category 502- Residential-Both
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type ]~ ChimneyA ~ Chimney B
Heat Loss ]~ As Approved ~ Existing
BTU Rate ]~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
109312
07/13/2004
Other
Vent J
Use/Nature SFR/Replace 40,000 BTU Furnace, install new 2 Ton AC EIV from Owner for wiring.
of Work
Fees: Valuation
Issued By:
$3,035.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$51.50
Date 07/13/2004
Parcel Id # 1214750000
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.
Q/HKO/H
City of Oshkosh
Division o f Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
the homeowner(s) of
Electric Installation Verification
't (print homeowner(s) name)
(address where work is to be performed)
accept the responsibility for pm'forming the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
~econnection or new circuit for replacement Heating Plant_.and/or A/C Condenser.
Reconnection or new circuit for replacement Electric 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.
Recormection or new circuit for the replacement of othcu' permanently wired
~"N appliances / fixtures. ~
ew circuit for the additiol(~l~A/C..)o an individual
dwelling
unit,
including
required service electricaT~utlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium.
duplex, rental, or multi-use building wouM require a licensed master
electrician.
Other
The value of this work is $ ~,_~ . dpt9
I herebY verify this work will be performed by me and further verify the reconnection /
installation will~~cturer and Electric co,requirements.
Homeowner(s) Signature (Date) /
5102