HomeMy WebLinkAbout0124133-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 918 GEORGIA ST
CITY OF OSHKOSH
No
124133
HVAC PERMIT - APPLICATION AND RECORD
Owner DANIEL 0 TESCH
Create Date 01/16/2007
Contractor
MARTENS HEATING & COOLING
Category 510 -Ind. & Comm-Heating & Ventilating
Plan
l!J Gas
D New
U Forced Air
U Electric
Chimney Type () Chimney A
UOil
U Electric ~
~ Replace
~~=::J
U Suppl. I
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
Fuel
System
Heat Loss
KJ As Approved
o As Per Plan
U Radiant
U Hot Water
o Chimney B
o Existing
() Variable
. Direct Vent
o Not Applicable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature OMM/ CONDO -REPLACE FURNACE, EIV SIGNED BY THE OWNER DAN TESCH
of Work
Fees: Valuation ~ $1,900.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$38.50
Date 04/09/2007
D Permit Voided I
Parcelld # 1305714400
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 wges 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 (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.
~
CU1-:lRdLtJ
ON n..II "''''TER
City of Oshkosh
Division oflllSjlection Services
215 Church Avenue
PO Box 1130
Oshkosb WJ 54903-1 J 30
Office 920.236.5050
Fax 9).,Q..236.50B4
Electric Installation Verification
I (W e )_._D.a-t.l--....L.5-e..h.------...-.------.-...---.--...------------.--.--..---.
(print homeowner(s) name)
the hOJtneowncr(s) of __qL2----(i~4l4...!:'~..---.--.-::;~~..--.._.~-------_._.-.--...---
(o1".ldarlls whelc work L~ to be perfon:ned)
accept the respons.ibility for performing the electrical work as stated below for the property listed
above:.
The natlLllTe aUhe work consists of: (Check One or Describe the Nature. of Work)
__~~con.nection or new circuit for replact:::ment Heating Plant and/or AIC 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 instaUation. Note: New Service
Entrance Cables win require a set"larate perrnit..
Reconnectio:n or new circuit for the replacement of other permanently wired
applian.ces I fixmres.
New circuit for the addition of Ale to an. individual dwelling unit, including
required service electrical outlets" Note,: Homeowners can. on~y do their own
electric on a singlefamilv mvner occupied home. Work on a condomini"u.m,
duplex, rental, or fm.4lt.i~use building would require a licensed master
electrician.
Ot.her
The value ofthis work is $_a.ollL.~~---.,,".
I hereby verify this work will he performed by me and further verify the reconnection I
installation will be done in compliance with manufacturer and Electric code requirements.
.fA '-7 fu:"" .
-~~ ~._._....._-_....._._-_..__..
Ilomeownelf(s. Sig11ature
___1/sJ"o 7
(Date)
5/02
City of Oshkosh
Division of Inspection Services
P,O. Box 1130
Oshkosh, VVI54903~1130
Phone (920) 236~5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC P'ERMIT APPLICATI'ON
All 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 pemlit fee, which ever is greater.
OR
lfvou are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your accou1ZL.O .
DATE 1- 5"- 07
JOBADDRESS q/~ &eOr~/C0
OWNER DQn-resc-h
CONTRACfORlLu:tens Hed'-n!
CHECK,~ALL APPLICABLE
USE CATEGORY
lfCSingle Family o Duplex DMulti-Family
o Rental
DCommercial
o Industrial
FUEL
1i4Gas
OOil
DElectric OSolid
o Solar
SYSTEM
CINew
DOther
J8Replace
TYPE
~Forced Air DRadiantDSteam DAlC OVent OElecmc DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED :DNo DYes - LINER SIZE_._ & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B I)pirect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIl'TION OF ALL WORK BEING DONE ~ . _f~4UI <<'
;aDO. elO
VALUE (Including labor and all materialsinclucHng light fixtures) $ ../--'
El..ECTRICAL CONTRACTOR !2.B ~ Electric Installation Verification form attached(lfRepJacement)
Electrical installation of new/replacement equipment shall be done by licensed colllractors
':,..,'"
38>.50
3/02