HomeMy WebLinkAbout0109314-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1741 IOWA ST
Contractor MARTENS HEATING & COOLING
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner KEVIN DEGNER
Category 502- Residential-Both
Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
No 109314
Create Date 07/13/2004
Plan
Solar I L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Chimney Type le Chimney A ~ Chimney B ~ Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing e Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
40/1T
Use/Nature SFR/Replace furnace with 40 K 80% Install 1 Ton A/C and install 4 inch chimney liner EIV from Hoene Elect.
of Work
Fees: Valuation
Issued By:
$3,332.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$56.00
Date 07/13/2004
Parcel Id # 1404580000
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.
Offt-KO/H
Electric Installation Veriticafion
(Elect~eal Contractor Name)
(C~ty) (State) (Zip Code)
~e ofp~y contracted
(Address where work Mil be peffo~)
The nature of the work consists of: (Check One or Describe the Nature of Work)
x/Reconnection or new ckcu/t for replacement Heating Plant and/or AdC Condenser.
__ Reconnect/on or new cSmuit for replacement Electric Water Heater or power vented
water hearer.
__ Reconrtection of the Serv/ce Entrance Cable, Meter Box, alterations to receptacles
and fighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
__ Reenrmeetion or new eircuit for the replaeement 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
~e value of this work is $_/_00, O0
I hereby verify this work will be performed by an employee of this company and further verify
the reeormection / installation v~51t be done in compliance with manufacturer and Electric code
requirements.
(Print Name of Officer)
(Date)