HomeMy WebLinkAbout0124554-HVAC
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OSHKOSH
ON THE WATER
Job Address 1829 SHERIDAN ST
CITY OF OSHKOSH
No
124554
HVAC PERMIT -APPLICATION AND RECORD
Owner SHOWCASE CUSTOM HOMES INC
Create Date 03/22/2007
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Bumer
() Not Applicable
C) Not Applicable
o Other
Value
Value
Use/Nature NSFRI New single family* 1 story with 2 car attached garage and a 10' x 14' patio and 23' x 25' concrete driveway.
of Work
Fees: Valuation
$3,900.00
~
Plan Approval
$0.00
Permit Fee Paid
$68.50
Issued By:
Date 05/02/2007
o Permit Voided I
Parcelld # 1217080000
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosl~ VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your accouJLL.O
DATE 7' 30 0'7
i iT ,
.JOB ADDRESS Irs ~ 9' S' ~ s r; c/c; V{
OWNER S ~ ULJ C c. ~'E
CONTRACTOR IIV! &"f'e.i'5 ,..I e t{ i . .. 1 r':: <50 ;.' 1 L(
CHECK Iii ALL APPLICABLE
US)!: CATEGORY
~ingle Family DDuplex DMulti-Family
o Rental
DCommercia.1
o Industrial
FUEL
/'
OOas
DOH
OElectric OSolid
OSolar
SYSTEM
-,""..."
8N'ew
OOther
OReplace
TY.PE
r3Forced Air ORadiant DSteam ONC OVent DE1ectric DHot Water DSuppl.DCon. Burner
"
."
IS CHIMNEY BEING LINEDl2l'No OVes - LINER SIZE
Note: AU chimneys shall be sized per the BTU's be~g vented,
& MANUFACTURER
CmMNEY TYPE
HEAT LOSS
BTURATE
DChimney A
/'
efA.s,Approved
...-
BAS Per Plan
OChimney B
DExisting
DVariable
~.#'-.
0"Direct Vent DOther
ONot Applicable
OOther Value
DESCRIPTION OF ALl, WORK BEING DONE_.HV;1-(..
tv € tA./
MAY 2 2007
DEPARTMENT OF
COMMUNrTY DEVELOPMENT
VALUE (Including labor and all materials including light fixtures).$ <39 tJtJ . ~~ECTION SERVICES DIVISION
ELECTIUCALCONTRACTOR
c)f,I.;?f6j y
OR 0 Electric Installation Verificat-ion form attached(If Replacement)
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