HomeMy WebLinkAbout0113043-HVAC (furnace)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113043
HVAC PERMIT - APPLICATION AND RECORD
Job Address
1311 OTTER AVE
Owner
JOHN F/STACY H DONNELLY
Create Date 03/16/2005
Contractor MARTENS HEATING & COOLING
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j U
Forced Air Radiant
1 1 Electric 1 1
Hot Water
Chimney Type 18 Chimney A 0 Chimney B
Heat Loss 10 As Approved 8 Existing
10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
U A/C
1 1 Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
8 Other
Value
0
BTU Rate
Value
75000
Use/Nature DUPLEX! Install replacement furnace - EIV provided by Herritage Electric -- No Chimney Liner being installed ----Where an appliance is
of Work permanently disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the
interior of the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$1,500.00
Plan Approval
$0.00
Permit Fee Paid
$27.50
Issued By:
Date 03/16/2005
U Permit Voided 1
Parcelld # 0802890000
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.
'Ø3/11{;~.q~5....1r¿}7U,, u9J~734383~Od. Enf'Ol"c....nt HERITAGE
PAGE 01
92D-239-sõs4"--------- -P:-ï--
~
UfHI<OIH
."., ï
!
co."",-
1);';;',...,_.......",.
"""'""""'"
1'0"" '"'
""",""WI "...,-, ""
""",""",o- ) .
-,...""",..-
Electric Installation Verification
(I) (We) Jflr::¡'-?~ r;:lh~,lc :¡;;'<.
i (Electrical Contractor Name)
!
i7:z.o /¡J ~""' ",,J Av. Àwkh-. t-/ )11'211-----
!~Address) «!¡{Y) (State) (Zip Cod~)
have bMt cÞntracted to p~'t"Íorm electric installation work for .J'Th..£:i! ^ ! f.l.ee. -/0:"
. (Name ufparty contracted to)
at the folloWing address; --I3.l1.--.f:l..1:ll.L--A vii
(Address where work will be performed)
Thç nature "fthe work cons is( ¡ of; (Check One or Describe the Nature of Work)
..::::¡.. Reconncction or new circuit for replacement Heating Plant w'or AlC Condenser.
~ Rp:onnection or new circuit for replacement Electric Water Heater.
RFCQnnC(:!ion (If the Service Entrance Cable, Meter Box, alterations (0 m:q>tacles and.
I Ii¡bting fixtures due to siding / soffit installation. Note: New Sen.'ice Entrance
, Cables will requi~ a separau. pemtit.
~ Rcconnection or new circuit for other permanently wired appliances I fixtureliò.
. Other
-
ThevalueofthjaworkisS f ;2.5",00
0
I hereby ~fy thi& work will be performed by m employee of this compmy and furt.'ler verity the
reconnection I installation will be: done in COlIIPliance with manufàcturer and Electric code
requiremenbi.
~
' . l^-" !?1-
( i pl.~ofCompanyOfficec)
111,01,..1 w ¿,(".....,..
(Print N.....e of OffICer)
'3-)1-0')
(D_)