HomeMy WebLinkAbout0125986-HVAC (a/c)
.
OSHKOSH
ON THE WATER
Job Address 918 GEORGIA ST
CITY OF OSHKOSH
No
125986
HVAC PERMIT - APPLICATION AND RECORD
Owner DANIEL 0 TESCH
Create Date 07/27/2007
Contractor MARTENS HEATING & COOLING
Fuel l!J Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss D As Approved () Existing
BTU Rate D As Per Plan C) Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
~ Replace
U Steam
U Suppl.
o Direct Vent
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature fSFR / Replace a/c. EIV provided by homeowner.
of Work
$1,900.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$38.50
Issued By:
CVnvo
Date 07/27/2007
o Permit Voided I
Parcel Id # 1305714400
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 - 514 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
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(t)
OfHKOfH
ON THE WAiER
HVAC PERMIT 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 permit fee, which ever is greater.
OR
Ifvou are a contractor artici atin in the Permit ee Account S stem and have ade
if vou want thiLJ2.rocessed through vour accou&D
DMulti-Family
o Rental
OCommercial
o Industrial
FUEL
~as
o Oil
~lectric OSolid
o Solar
SYSTEM
~ew
o Other
~eplace
TYPE
OForced Air ORadiantOSteam .p(AlC OVent OElectric OHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED .DNa CIYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's betng vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Approved
DAs Per Plan
DChimney B
OExisting
OVariable
ODirect Vent ClOther
ONot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE ..A'~_~
~
)
19fJOI dO
38.S0
VALUE (InclucUng labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR
. O!l ~ectric Installation Verificatian form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed eontraelOi
r7I ~ (p
~vl
~
3/0;
~
Olf-RQrl"::i
ON THe WATfiR
City of Oshkosh
Dlvisl011 of Inspection Servic~~s.
-215 Church AVel1l1e
PO BOll 1130
OsbJ",sh W1 54903-- I J 30
Offi<:e 920-236-5050
Fall 920-236-50&4
Electric Installation Verification
I (W e) ____DQn-----.-~Ie-~.c--h--"---"-".---------.---,-.-.----,---------,-----------
(print homeowner(s) llmne)
the horneowner( s) of _q(~------_Ge.;q,~4~i~--:-~-.-:-;-:-:--,--:---,-"-:-:---.-"------"-"
(:a(laJL~ whelc wo:rk 1S to be perfOl1l1ed)
accept the responsibility lur performing the electricaJ work as stated below for the property listed
above:,
The nature ofthe work consists of: (Check One or Describe the Nahrre of Work)
,--,'i.
J
Reconnection or new circuit t~)r replacernent Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables win require a separate permit.
Reconnection, or new drcuit for the replacement of other permanently wired
appliances I tlxtures,
New cir(~uit for tbe addition of Ale to an individual dwelling unit, including
required. service electrical outlets. Note: Homeowners can only do their own
electric on a singlefa,nilv owner occupied home. Work on a condominium,
duplex, rental, or muUi-use building would require a licensed master
electrician.
Other
The value of this work is $____"L_8O'"L,~O_-----.
I hereby verify this wo-rk win be performed by me and fhrther verify the reconnection I
instaHatiofl will be done in compliance with manufacturer and Electric code :requirements"
, 't-~7'
._---~ -- -.--"
(Date)
,1'A~_____. ______ ,__,"_".__..,,__.,,_._.,__,.,,___"--.----.-----'"
-~-- ' -'- -- ,,-
~omeo meres) Sig11ature
5/02