HomeMy WebLinkAbout0111689-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1429 HARRISON ST
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 lAN/LAUREL B AVERY-DEWITT
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ 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
111689
11/17/2004
Other
Vent J
Use/Nature SFR/Replace furnace, and install 4 inch flexi-vent chimney liner - EIV provided by MY ELECTRIC
of Work
Fees: Valuation
Issued By:
$2,825.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 11/17/2004
Parcel Id # 1505320000
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
I(We) MY Electric Corp.
(Electrical Contractor Name)
,,1..512 gusby St. 0shkos.h WI 5/4902
(Address) (City) (StaTe) (Zip Code)
at the following ad~ess: / ~2 ¢ ~/.~ ~,
(A3dress wh~e work will be ~erfomed)
The namm of the w~ork consists of: (Check One or Describe the Nature of Work)
'~Reconnection or new ch'cult for replacement Heating Plant ~md/or A/C Condenser.
Reeonnection or new circuit for replacement Electric Water Heater or power vented
water heater,
_. Reeonnection of the Service Entrance Cable, Meter Box, akerations to receptacles
and lighting fixtures due to siding/soffit installation. Note: New Service
Entrance Cables will require a separate permit,
. Recom~ection or new circuit for the replacement of other permanently wired
appliances/'fixtures,
~ New circuit for the addStion of A/C to ma ~dividua! d~,~elling ~ni~ (house or the
individual systems in a duplex or condominium), including required service
etec~cal outlets.
Other
The value of~his work is $ $500.00 or Less
I hereby verify this work will be performed by an employee of this company and further verify
the r.ecormectinn / installation will be done in compliance with manufacturer and Electric code
reqmrem~nt~.
· You bauer
(Print Name of Officer)
(Date)
TOTAL