HomeMy WebLinkAbout0123051-HVAC
.".
OSHKOSH
ON THE WATER
Job Address 1660 S WESTHA VEN DR
CITY OF OSHKOSH
No
123051
HV AC PERMIT -APPLICATION AND RECORD
Owner DEXTER/BERNICE B SCHAUBS TRUST
Create Date 01/02/2007
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U~lectric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate D As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Direct Vent () Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature SFR/ Replace furnace. EIV provided by D. Kal Electric.
of Work
$56.50
Fees: Valuation
$3,055.00
(J~
Plan Approval
$0.00
Permit Fee Paid
Issued By:
Date 01/02/2007
D Permit Voided i
Parcelld# 1315560000
In the performance of this work, I agree to perform allwork 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 (Le. 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.
~
Ofl-lK().fH
- ON THEWATER'
City ofO~bkosb
Division of lnspe"tion Servioe,
215 Cb"""h Avenue
PO Box 1130
Oshkosh WI 54902-! 130
Offiee 920.236-5050
Fa)( 920-236-5084
Electric InstaUatioB Verification
(1) (W e) _.._of) -4-.- 1<:/1!-.. _ 15 I e ~ 1- . ~-L.c.....-_.-
(Electrical Contractor Na:me)
_. 'IfL Dl._~~~bP-9-.r~~_ilY.~_____9 ~cid -- UL!.!.' S-Y1.~3~
(Address) (City) (Stlilte) (Zip Code)
have been contracted to perform electric installation work for _ 0 f!X' nr: _ Set, a. v bY~.,
(Name of party contracted to)
at the following address: 16 (, 0_ ~ 6'S'1- h '" '-:C~ {J r-,
(Address where work will be pe.rfonned)
TI1e nature of the work C'.-onsists .of: (Che.ck One Dr Des(~ribe the Natwe of Work)
~econnection or new circuit for replace:m.ent Heating Plant and/or .AJC Condenser.
Reconnection or new circuit for replacement Electric W'ater: Heater.
ReCOMlection of the Service Entrance Cable, Meter Box. alterations to receptacles and
lighting fixtures du.e to siding / soffit installation. Note: New Service Entrance
Cables will require a separate pennit
Recormection Dr new circuit for .other permanently wired appliances I fixtures.
Other
---_.."~---_."--.__.__._--_.~-'-_......-----------------_......
----,...-----.-------.----------.,............-----
.--._____---..-------M~
Th.e value .of this w.ork is $_CJ.~ D ?_-
I hereby verify this work win be performed by an employee ofthis company md f'Urther verify the
recormection / installation win be dDne in compliance wjth manufacturer and Electric code
requirements,
~j-Yk _
(Signarore of Company Officer)
__w.~.s: I L. j(q l!q5
(Print Name of Officer)
I~:~ Cl"L
-,1-, '-'.-'-'-
(Date)