HomeMy WebLinkAbout0122869-HVAC (furance & a/c)
o
OSHKOSH
ON THE WATER
Job Address 2575 HAMilTON ST
CITY OF OSHKOSH
No
122869
HVAC PERMIT - APPLICATION AND RECORD
Owner TODD NMEGAN M GilLINGHAM
Create Date 12/12/2006
Contractor MARTENS HEATING & COOLING
Fuel l.{J Gas UOil
System o New
l.{J Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat loss [) As Approved . Existing
BTU Rate D As Per Plan . Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
o Other
~ NC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature SFR / REPLACE FURNACE AND NC
of Work
Fees: Valuation $6,000.00
Issued By: ~4.)
Plan Approval
$0.00
Permit Fee Paid
$100.00
Date 12/12/2006
o Permit Voided I
Parcelld # 1229830000
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
AgenUOwner
Address
PO BOX 514
OMRO
WI 54963 - 0
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.
City of Oshkosh
Division of Inspection Services
~ P,O. Box 1130
r \ Oshkosh, WI 54903~1130
Phone (920) 236-5050
Fax (920) 236-5084
')
DEe 12 2!lIl6 qf
~
01HJ\OjF~
ON THE WATER
HVAC PERMIT APPLICATliON
All information after bold categories must be provided,
Incomplete applications will not be processed.
... Application(s) and fee(s) can be brought to City Han, Room 205 or rp.ailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s}will result in fees being doubled or $100,00 plus the
normal pemlit fee, which ever is greater.
___ OR
!iJ!ou are a ';;~ntractor parl.tcTji1iHng in t?f.ePei"rJJJJlee_Account System and haye adequate funds. check he1'e.
if you vva]zt this J2.roce.~p through Vou.r -'1.!ZcountD
DATE L d.f1:/ 0(;.__
.JOB ADDRESS_ d ~ 7 L_I-Ja.:.v, ,~l_t(j vt S't
OWNER~clcI .. G.'l/,'Y1~G-~-'- -
CONTRACTOR (Y)~~~~ NeC\. {.~\_~0_Q~.J.!.~~,
CHECK rt1 ALL APPLICABLE
n USE CATEGORY
If1Single Family ODuplex OMulti~Family
DRental
DCommercial
o Industrial
}'UEL
~
DOH
DElectric DSolid
o Solar
SYSTEM
ONew
OOther
~place
'fY~ .
morced Air O:RadiantDSteam ~ OVent OElectric DHot Water OSuppl.DCon. Burner
IS C~Y BEING LINED .~ DYes - LJNER SIZE-i1--'L-_ & MANUFACTURER
Note: All cbilnneys shall be sized per the BTU's being ven1-ed, . .
CIDMNEY TYPE DChimney A DCJJ;i.a'lney B ~ect V cnt o Other
REA T LOSS DAs Approved lEf~ting ONot Applicable
BTU RATE OAs Per Plan !]"Variable aOther Value ---
DESCRIPTION OF ALl" WORK BEING DONE____ ~ e(2J ~.c..~
\-:--'
1- v r- ~..~~~
~ )--c
_.---
V AI"HE (Including labor and all roateriials inchuiing light fixtures) .~L~.90~.. ._c:fl:)_
(\ ELECTR!~~.!:, CON'rRA.C'fORP, J~C\. \. --- ~- OR 0 Electric Instalhttion Verification form attached(IfRepJacement)
Electrical installation of newkeplaceme7ll equipment .~hal1 be done by licensed contl'actor
3/02