HomeMy WebLinkAbout0109313-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 817 W 12TH AVE
Contractor MARTENS HEATING & COOLING
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner LAWRENCE M KARL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
109313
07/13/2004
Other
Vent J
40K
Use/Nature SFR/Replace Frunace with 40K 80% EIV from Hoehne Elect.
of Work
Fees: Valuation
Issued By:
$2,962.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$50.00
Date 07/13/2004
Parcel Id # 1306190000
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.
Electric Installation Verification
(Electrical Contractor Name)
(Ad,ess) (City)
have been contracted to perform electric installation work/'or
(State) (Zip Code)
(Name ofp~y contraet~ to) '
(Address where work will be performed)
The nature of the wurk consists of: (Check One or Descr/be the Nature 0f Work)
I,~Reconnecfion or new ckcu/t for repheement Heating Plant and/or ArC Condenser.
__ Recormection or new circuit for replacement Electric Water Heater or power vented
water heater.
__ Recormection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables w/Il require a separate pen,nit.
__ Recormection or new cimuit for the replacement of other permanently wired
appliances / fixtures.
__ New 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 of this work is $ //~)/~), ~
I hereby verify this work w/Il 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.
(Print Name of Officer)
(Date)