HomeMy WebLinkAbout0123898-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1335 JUDY LEE CT
CITY OF OSHKOSH
No
123898
HV AC PERMIT - APPLICATION AND RECORD
Owner GEORGE M/MELlSSA F KALKA
Create Date 03/05/2007
Contractor MARTENS HEATING & COOLING
Fuel l.{J Gas I I Oil
System n New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss o As Approved () Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
Use/Nature iSFRlINSTALL DUCTWORK FOR BASEMENT REMODEL **debt acct
of Work:
Value
Value
Fees: Valuation ~o.oo
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$26.50
Date 03/23/2007
o Permit Voided!
Parcelld # 1343730000
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 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.
~ 03/22/2007 15:29
::: . City of Oshkosh
Division of tn:::pecrion Servi.ces
P.O. Box 1130
Oshkosh. WI 54~3-1130
Phone (920) 236-5050
Fax (920) 236~5084
92058~0490
MARTENS HEATING
PAGE 01
~.
OJaQ/H
OM THE WI'i ~R
HVAC P'ERM1T APPLlICATlON
All1nformation a.fter bold categories must be provided.
Incomplete applications will not be processed.
. Applicatjon(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
llr;U arf1 (!. contrar;;Jor pQ,}'tiaiDati1Hf 1'(1. the. .~e"~ipCCQ,.mt S,'stem.....lltvl.Jv:r,ve ade.qtlate. funds. ch.eck he.re
if WJU J1!ant thj~ 't!""-ce.s..~!1J.JJgh V0741' (!IJi.f"'p"un
DATE 3-c;? 1- ()7
.JOBADDRESS / 335" ..J u.t-ii Lee c. f
OWNE.-6:~i1~ t ~~tL .
coNnAC1'O. <rje;~ HP;dirJO 't- {;~/jinff
CHECK Ii! ALL APPL1CABLE
'~E CATEGORY
~jngle Family DDuplex
DMulti-Family
ORental
DCoro.mercial
o Jndustrial
FUEL
lJQas
DOH
DElec1ric OSohd
o Solar
SYSTEM
DNew
OOther
ORcplace
~E ..
F-or~d .Air ORadiantOSteam DAle OVent OElectric DI-lot Watcr OSupp1.0Con. Burner
IS CBIMNEYllEJNG J..INED ~o ClYes ~ LINER SIZE & MANUFACTURER
Note: AJl chimneys shall be sized per the BTU's'be~g vented.
cmMNEV TYPE
REA T LOSS
BTU RATE
DJ:SCRIl'TlONOFAU_WOJlKHlNG DOm~hft~'rJl/~
DChimney A
OAs AppfOVC_d
DAs Per Plan
OChimney B
OExi sting
OVariahIe
DDirect Ve:nt
DNot ApplicalWe
OOther Value
o Other
v AJ...riE. (J."Cll~ldt:ng llll,bor And lltl mJl.t~hd8 in~lbuHng light fixtures) $_~iL () 0, ()O
ELECTRICAL CONTRACTOR--t1 ) I.tr__ OR 0 Elllctric 1!l~l'bl,tton VetifiClt.ttan.form llttaebed(lfRcpll1ccm(mt)
. ... y EI",,"'~I ~"".""" D/'__'" .......~ ,"'" '" """, by 1~"''''' """"""'''
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