HomeMy WebLinkAbout0125062-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 960 ALPINE CT
Fuel
U Gas
D New
U Forced Air
U Electric
Chimney A
KJ As Approved
() As Per Plan
UOil
CITY OF OSHKOSH I
I
HVAC PERMIT -APPLICATION AND RECORp
I
~ Create Date
I Plan
U Solar II
I
No
125062
Owner
GARY UPAMELA J HENKEL
05/31/2007
Contractor
MARTENS HEATING & COOLING
Category 501 - Residential-Air Conditioning
~ Electric
U Radiant
U Hot Water
Chimney B
. Existing
() Variable
o Replace
U Steam
U Suppl.
System
Chimney Type
Direct Vent
Not Applicable
Heat Loss
o Not Applicable
. Other
BTU Rate
Use/Nature ~FR / Replace a/c. EIV provided by D Kal Electric.
of Work
Fees;: Valuation
Permit Fee Paid,
I
I
i
i
In the performance of this work, I agree to perform all work pursuant to rules governing the described constructioh.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfo~m the work
I
described in this permit application within an easement, the City strongly urges the permit applicant to contact th~ easement
holder(s) and to secure any necessary approvals before starting such activity. '
$2,504.00
Plan Approval
$0.00
$49.00
Issued By:
~
Date 05/31/2007
D Permit Voided I
Parcel Id # 1525230000
Signature
Date
Agent/Owner
i
I
WI 54963 - ~ Telephone ~umber 920-685-0111
Address
PO BOX 514
OMRO
I
To schedule inspections please call the Inspection R~qUest 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
cOlntinue if the inspection is not performed within two business days from the time the project i~ ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WAi'ER
HVAC PERMIT APPLICAT"ON
All information after bold categories must be provided.
Incomplete applications will not be processed. I
· AppIication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspedtion 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. II
OR '
If yOU are a contractor participating in the Permit lee Account System and ha e adequate funds. checkhere
if yOU want this processed through your account n '
DATE S_3u, 0/
! /
I
JOBADDRESS 960 Alpine_ CT
OWNER~,"",' l..fePl f::..q-f '
CONTRACTOR fY1Ctrt-e""F (-t~~t/-11 J- <:o~f/F7J
CHECK ~ ALL APPLICABLE
I
DCommerdial
I
I
OGas ~lectric DSolid SYSTEM DNew I
DOil DSolar DOther J
I
TYPE I
DForced Air DRadiant DSteam DAle DVent OElectric OHot Water OSuppl.DCon. humer
IS CHIMNEY BEING LINED .~ DYes - LINER SIZE & MANUF AdTURER
I
Note: All chimneys shall be sized per the BTU's being vented. . I
I
o Other
I
,
USE CATEGORY
J&!lSingle Family
DDuplex
DMulti-Family
DRental
o Industrial
FUEL
OReplace
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
I
I
Ael
.-1
I
I . .! 'V
I U~
InCIUdi,n~bor and all materials including light fixtures) $ ~S 0 y, 00 I d-t>
C~~ - 1::" ( OR 0 El...rid........... v_Jon...... '''''hed(IfR<pI"""",,)
Electrical installation of newlreplacement e~Uipment shall be done by licensed contractors
I
OChimney A
OAs Approved
DAs Per Plan
DChimney B
itExisting
DVariable
ODirect Vent
ONot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
R e 'P ICJ.Q
VALUE
ELR
MAY 31 2007
"JII"\-"l
~
OJl-KWH
--oj;i~rHtW;.TEi;l-'
City ofOsbkosh
lDi~illioll ,,(lnSl'ection Se.-vli,,,,,,
:215 Cb..",h A \I"'"";
PO eo" 1130
Oslllwllb Wl 5-<1902-1130
Office 92()-23-6-5!l50
FaJi 920- 23(i.50fl4
Electric InstaUatio,D VerificatioD
(1) (We) __'__ 0 _-LJ<- a L_.-- ~1 e_c+-r:2-~_____---,.l_------
(FJect1rlcal Contractor Name) !
_--'-i:i Q_2_JS_~.?(,~~C?E-~{_i1.:::~ .___._____Q.~t2,~_~:__~~~'-=-.2.z~-f:r.
(Address) (Cit.y) (State) . (Zip Code)
have been contracted to perform electric installarion work for P "'~-< 1",/ - ~
(Nm>>.e of partyl contracted to)
at the fullowing address: ~f2_-.I1i~ ~j- _" I .. ---
(Adl~ress where work ,JIliU be perforrnbd)
The nature of the _ <:<>ll!tists of: (Clleck One or Describe the Nature OfW~)
~ R<:connection or new circwt for replacement Heating Plant ~or Ale Condenser.
.=--=' Recoonec1tion or n:evt!. circuit far replacement Electric 'Water fHeat~r.
RecoW:llection of the Service Elltrance CaMe, M.eter Box. alterati'Ons to receptades and
ligbtin.g fixh1lres due to siding I soffit mg,~an.a:tion. Note~! New Service Entrance
Cables witH require a se;par3te penniL I
Reconnection or new circuit fm other pellIDmently ,l\!ired appliances I fixtures.
Ofu~ . I
,___""_~~,_______",_.,__""""",_.,_~,,._~_~'A'_"".._.______~_~_...__._..._.,_~H____.~__,...._."_______H__.~H_.....1___-..------.-.-----.
I
H___._..._.______.._________....H__"_P..,__.~__..__._._.__. I
-----_._-~-~
The value ofthis work is $-'_5:'_'2_.L..,QQ-.__..- l
I hereby verifythis work win be perfomJ.ed by am employee of this compan. aM further verify the
rocOlmection I installation win be done in com.pliance with mantli.facturer aha Electric code
requ.irements. .
~f~
(Signature of Company Officex)
._ Pt"j~J~_~ I(~ Ilq5~_.__J
(Print Name of Officer)
S-, .501 (J2.
(Date)