HomeMy WebLinkAbout0123650-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1821 OHIO ST
CITY OF OSHKOSH
No
123650
HVAC PERMIT -APPLICATION AND RECORD
Owner MICHAEL A ZESSIN
Create Date 01/05/2007
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type [) Chimney A () Chimney B
Heat Loss [) As Approved [) Existing
BTU Rate . As Per Plan [) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar ITSolid
o Other
U AlC [IVent
U Con. Burner
() Not Applicable
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
. Not Applicable
() Other
Value
Value
Use/Nature NSFRI New single family. 1 story with a 2 car attached garage. NO DECK OR PATIO WITH THIS PERMIT.
of Work
Fees: Valuation. $3,250.00 J
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$59.50
Date 03/01/2007
o Permit Voided I
Parcel Id # '1407690000
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 cure any necessary approvals before starting such activity.
Signature
Date
3
(
/ ,. 07
Agent/Owner
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 atthe 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
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
QlBKOfH
ON THE WATER
HVAC PER.M1T APPLICATIO'N
AU information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed 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 permit fee, which ever is greater.
OR
/fJiou are a contractor ll.qrticilJating in the Pamit lee Account Sv..stem and have ad~quatefunds. check here
if vou want this processed through your account n
DATE;( d 7, 0 '7
JOB ADDRESS / f:J. / 0[, ,',;, s V-'
OWNER, (Y1,'1<(2 Z eS51" .(\
CONTRACTOR rv7 ~ r fc:::..-ts Ifre, t;\ -1)
d C o~) /,...., <:;..
,
CHECK Ii'! ALL APPLICABLE
USE CATEGORY
19Single Family DDuplex OMulti-Family
o Rental
DCommercial
o IndustriaI
FUEL
19'6as
o Oil
DElectric DSolid
o Solar
SYSTEM
~
DOther
DReplace
~ed Air DRadiant OSteam DAlC OVent OElectric OHot Water OSuppl.OCon. Burner
IS CIDMNEY BEING LINED :~ DlYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
OA...s..Approved
!B:As Per Plan
OChinmey B
OExisting
DVariable
~ect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE Ue l./U J'1" "vl e-
/-1 )./ A-c
VALUE ({neluding labor and all materials including light fixtures) $ .3 2 jiJ , 0 0
ELECTRICAL CONTRACTOR
OR [J Electric Installation Verific!lition form attached(IfReplacement)
Electrical installation of new/replacement equipment shall be dene by licensed contractors
3/02