HomeMy WebLinkAbout2005-HVAC (furnace)
~~.
OSHKOSH
ON THE WATER
Job Address 1115 RUGBY ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
117224
Owner
JOSHUA P STEINHARDT
Create Date 1111012005
Plan
Contractor MARTENS HEATING & COOLING
1 1 Oil
Fuel 1"'1 Gas
System n New
~ Forced Air U Radiant
1 1 Electric 1 I HotWater
Chimney Type [) Chimney A . ChimneyB
Heat Loss [) As Approved . Existing
BTU Rate [) As Per Plan . Variabie
Category 500 - Residential-Heating & Ventilating
1 1 Solar
I I Solid
1 1 Eiectric
0 Replace
U Steam
[l Other
U Vent
U PJC I
I I Con. Burner I
e ) Not Applicable
1 I Suppl.
e ) Direct Vent
e ) Not Applicabie
e ) Other
Value
Value
UselNature ~FRI Repalce furnace - EIV provided by Hoehne Elect -- No Chimney Liner being installed -Where an appliance is permanently
of Work isconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior
þf the CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$2,349.00
Plan Approval
$0.00
Permit Fee Paid
$41.00
Issued By:
Date 1111012005
D Permit Voided I
Parcelld # 1305850000
In the performance of this work, I agree to perform all work pursuant to nules 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.
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cityoro.hkosh
Divisiooofl_otiooS<nri<."
2i5 c¡"""h Avenue
PO Box 1130
Oshkosh WI 54903-1130
om" 920-236-5050
Fox 920-236-5084
Electric Installation Verification
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. (Electrical Contractor Name)
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(Address)
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(City)
t!.ú/ /) '1"'?ó' S
(State) (Zip Code)
have been contracted to perfonn electric installation work for
(Name of party contracted to)
at the following address:
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~econnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
- New circuit for the addition of AlC 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 $
/56, c9=ð
I hereby veritY this work win be perfonned by an employee of this company and further verifY
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
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Ignature of Company Officer)
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(Print Name of Officer)
(Date)