HomeMy WebLinkAbout0103796-HVACOSHKOSH
ON THE WATER
.lob Address 3229 BELLFIELD DR
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 CREATIVE CUSTOM HOMES & DEVELOP
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103796
04/28/2003
Other J
Vent J
Use/Nature NSFR/ Install heating system for new home.
of Work
Fees: Valuation
Issued By:
$2,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 08/28/2003
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 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~ of oskkesh
?,0, Box I~30
O~osh, W~ 5~903-1130 ~,.
Phone (~20) 236-~050
.VAC PErMiT
~.co~lete ~pl~afions ~ not be
· A plicatio ( ) ( ' ' nenmi'( ~llrema,kin:Fem~ doubled or $100,00 plm the
~koshWI 54903-1128. C~nmemgworkw~thaut. ..... t.s. g
no.al pe~t fee, which ever is
~ou wa~r~ys~.d
USE CAlGaRY
~Shgle Fatuity
PR C
~orced Air ElRadia~t DSteam [ZtA/ iZlVent ZlElectr/c DHot Water IZISuppLI2Con. Burner
Note. AtlchirrmeysshaltbesizedpertheBTUS e g , · '
CHIMNEY TYPE ElChimney A 12Cl~mney B [51Direet Vent E1Other
I:IEAT LOgS CIAs Approved ~Ex{sting [ZINot Appliaable
BTU RATE [3As Per Plan [3Variable ElOther Value
DESCRIPTJON OF ALL WORK BEING D~ONE ......... .
ELECTIE[CAL cO~TRACTO]R_ ....
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