HomeMy WebLinkAbout0124294-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 910 WAUGOO AVE
CITY OF OSHKOSH
No
124294
HVAC PERMIT -APPLICATION AND RECORD
Owner GWEN F VANHANDEL
Create Date 04/18/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
Contractor MARTENS HEATING & COOLING
Fuel 1,.1'] Gas UOil
System o New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type K) Chimney A C) Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K) As Per Plan . Variable
U Solar U Solid
o Other
~ AlC U Vent
I J Con. Burner
. Direct Vent C) Not Applicable
C) Not Applicable
() Other
Value
Value
Use/Nature SFR / Replace furnace, install 3" chimney liner. Install new AlC unit. EIV provided by D. Kal Electric.
of Work
Fees: Valuation
$4,836.50
Wnt~
Plan Approval
$0.00
Permit Fee Paid
$83.50
Issued By:
Date 04/18/2007
o Permit Voided I
Parcel Id # 0202960000
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 otherwlse, 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
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THe WATER
HVAC PERMIT APPLICATtON
All informatio,n 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater,
OR
lfvou are a contractor participating in the Permit fee Account System and have adequate funds. check here
if vou want this proceSSed through your account n
JOB ADDRESS "C)/(3h" {:C)~:',";'~""""' A or:
OWNER G '-U e V\ l/ 4'4 (fer vt JI; ,
CONTRACTOR fY1CU-+r;hF 1/e",,+;..,(.J.. C:~u I:", ..
I \
DATE Y /707
,
CHECK Ii!f ALL APPLICABLE
US~CATEGORY
rn8illg1e Family DDuplex DMulti:-Family
o Rental
DCommercial
o Industrial
FUEL
rna;;s
DOH
OElectric OSolid
OSotar
SYSTEM
DNew
OOther
rsm:eplace
~~ed Air ORadiantDSteam nrAlC DVent DElectric DHot Water OSuppLOCon. Burner
IS CHIMNEY BEING LINEDONo f13Y es - LINER SIZE 3 .'
Note: All chimneys shall be sized per the BW's bej,n:g vented.
& MANUFACTURER Fle,k <'~ L..' '" ....~r
CmMNEY TYPE
HEAT LOSS
8TU RATE
DChimney A
DAs Approved
DAs Per Plan
DCJ2imney B
C3Existing
uwa;iable
~ect Vent
DNot Applicable
o Other Value
o Other
DE~C G DONE
APR 1 8 20Uf
DEPARTMENT OF
CQr-'l~UNm DEVELOPMENT . . . L/ t.5 b . ''-1<:5
V ALUErt.l~~~~~,^~~'bro!5!B~ls lOcludmg hght fixtures) $ I < '-'
ELECTRICAL CONTRACTOR O. !C,c,./( Olf. 0 Electric Installation Verlficationform attached(IfReplacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors
R_.ilM~
FJ-r.....?,c <(L AdJ /l-c
,-
\;A ~O\'-\
3/02
City of O~hl;,..~h
JI);l!is,oll of hn~li"" 3<mJir:"'i
1 j 5 ClIlt>I'CIi AVOIn.""
PO l3.ox 1130
Oslilwllll'iNl 54002" i 130
Offi~, 92002%-505!J
Fax 920-23(i..j0ll4
uJ"HKQfH
-"(>>,rt:iF.~"-
Electric l.ustaUatio,g VerU'icadeD
(I) (We) ___ O~~L_ k oJ__. E Lrl:_~ tr- J _~____
(Electrical ContractoR' Name)
_-2,,:iQ::i_~@ u_?:bf-?~~~(A_~€~ .~_.___Q.~ f' u
(Address) (CHy)
Lu,'
(State)
:;;-Y;9 {3
-"'--.--
(Zip Code)
have be,en con'l:Jra.c.t.ed to perfarm electric instaUation wOJrk for __C""VJ e..... __j(i:;.,-! He.. -1 cIL~_,
(NlUIIte of party contracted to)
at the following address: _.1! q-_~:!:::.:~...f:Ul-.t)o. flJ/f _-:----__._
(Address where work wnU be performed)
. ,. .
Th.e na.tlu"e of the work cm.\"~ists of: (Che.ck One or Describe the Namre of Work)
~eco,1t]!llection or new drcuH for replaCe:lJle.nJ Heating Plant l1Indlor Ale Condenser.
,,---. Recoont}Ction or. new circuit [or repbR.cement Electri.c Water Heater.
Reci.mJ:~ectioo of the Service: Elll:lnmCe: Cable, Meter ,Box, alterations to receptacles and
Inghtm,g fixtures. due to. si<fhng / soffit iustraUadoD.. Note: New Service Entrance
Cahles win requJlre a separate permit
Reconn:ec1jon or me'W circuit for other permanently '~ired appliances / fixtures.
Other
_.'___'_'~_.~__"'N__N_"___'~__'~"'N'_'._'--"___'__~'~"~"'~---""'--"""""""-"""""-~__"_M""_""'------'_'---_------"_""~______""__N'__~_.
...~---,----_.-
--.--.,-..-.,-,.---.,.,..---.------.--.-.-"""'--...-:-'~---....--......__:_.....--------~"'''''''''''''''t'______...~___,,-._...-__~~__.._
The vallue of this work is $_ / ~E..:.....C2'::?__.."
J hereby verifY this work wm be perfonne4 by an employee ofiliis co:mpanyand further verify the
roconnection I insWlation win be done Rn compliance wjtll manufacturer and Electric code
requirenlentfiL
~/--~
(Slgnatil,u e of Lomp.,y Officel)
--~~.s;.li:~Kq II~..,__..
(Print Name of Officer)
7"/767
, /
- / (Dat~---'