HomeMy WebLinkAbout0126035-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 223-229 SULLIVAN ST
CITY OF OSHKOSH
No
126035
HVAC PERMIT - APPLICATION AND RECORD
Owner JOHN P SAVAGE
Create Date 08/01/2007
Contractor MARTENS HEATING & COOLING
Fuel U Gas UOil
System D New
U Forced Air U Radiant
L I Electric U Hot Water
Chimney Type U Chimney A U Chimney B
Heat loss () As Approved C) Existing
BTU Rate C) As Per Plan C) Variable
Category 501 - Residential-Air Conditioning
Plan
~ Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
~ AlC U Vent
I I Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature 1#223/ Replace central air. EIV provided by D Kal Electric. ""DEBIT ACCT"".
of Work
Fees: Valuation
$1,772.00
~
Plan Approval
$0.00
Permit Fee Paid
$37.00
Issued By:
Date 08/01/2007
D Permit Voided I
Parcelld # 0611510300
I n the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urge~ the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 514
OMRO
WI 54963 - 514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
=== 08/01/2007 09:14
::: City of Oshkosh
D~vision ofIn$pec::tion Services
P.O. Box 1130
Oshkosh, VVl54903.1130
:Phone (920) 236-5050
Fax (920) 236-5084
9205850490
MARTENS HEATING
PAGE 01
(t)
Q1OKOJI-l
01\1 'r\-lE WATF,R
HVAC P'ERMIT AP'PLtCATIO'N
AU imormatio,n a,f1;e:r: bold categories must be provided.
Incomplete applications wiD not be processed.
. Applicaticm(s) f.lnd fee(s) can be brought to CitY Hall, Room 205 or mailed. to Inspection Services, PO Bo:x. 1128,
Oshkosh WI 54903-1128. Commencing work wit1.1out pennit(s) will result in f.ees being doubled or $loo.OO pluB the
nonnal pennit fee, whioh ever is greater.
OR
!Ll!.OU are fJ. {;ontrac.t'11" parrici1UItinc iTI the P~IHt.JCCOllnl J.~vstem and bJ1,lIe adequate llJ.li~. check here
!f...Y-bU want this "rofesse,d throufllz VO~}" aCCOJ,J . . .
DATE Z-j- 0 7
JOB A1)DRESS (~~.3 SLL /1 i va TJ
OWNER '"-- \oh n Sa u~
cONTRAcTOR1i1d:.ens H~ 't- eooJ1nQ-
CHECK Ii!! AlJ.. APPI~ICABLE
USE CATEGORY
DSingle Family DDllplex ~111ti-Fami]y
~Remtal
DCommercial
DIndustrial
FUEL
OGa.s
DOt]
&Zf.El:ectric OSoJjd
OSotar
SYSTEM
DNew
OOth~
GctCPlaoe
TYPE AI'.
OFoTced Air ORadia:nt OSteam ~/C DVent DElectrio DHot Water DS1.tppl.OCon. Burner
IS ClIIMNEY BEING I..INED .~o DYes - LINER SIZE
Note: All chimneys sha.ll be sized per the Bl1..Ps bei.ng vellted.
& MANUFACTURER
CW:MNEY TYPE
HEAT LOSS
BTU RATE
C}Chimney A
OAs Approved
DAs Per Plan
OChimney B
OExisting
OVariable
DD;rect Vent DOtber
DNot. Applicable
OOther Valu.e
DESCRIPTION Of ALL WORK BEING DONE /I_~ <J~~
~~~-t ~)
VALUE (ltl~ludinIllIQbor sn.d all m.lul!rlllls inclpd,ing light fixtures!) ,$ /77:? I 00 .:tJ 31, 00
ELECTRICAL CON'l'RA.CTOR OIl \-, ~ccl'rlc Tnstllllm:lon Verif.itftt:I,m f.orm lltt.ac:hed('f~erlae~mO!!llt,)
.F.lm:JI:J~:"_~l.IllldIiOYl ofnt!wkeplucp.m8lll!.lrdpme.n/. !/h(lll be (iont! 11J' licensfUt )l)r//I'IIr:0(
O~~
\Jl,D
3/02
08/01/2007 09:14
9205850490
MARTENS HEATING
PAGE 02
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Electric IllsblJlatioB Veri,ficatioD
(I) (W'e) ____.0 ~._L__k ~__~1-~e<-f,....~ '=---..
(EJecrricaJl CI[lI\'l:t.r..~c.t;.Qlr Name)
~L:LQ3__-(s_~_?h f~.!:.f".Jl.,~~~-,_.,,""-Q~ 0 ~ ~_~~9 fJ,
(Addmss) ~Cllt.y) (State) (Z11) Code)
bave """" c"""""cted to p<rfotm electric ;n!<t:>lllll:i"" "mrl< for ~~.e.._~.
, " . (Name ofpm.1:y conmk4:ed to)
~l tile f.ollowing addre$s: -J_.2-3...,.__".5~LU uq. G.----:-
(Addrf..)$ where work WJlU be perfon>>ed)
Th,e natu:re .of t.he ,work corn"uu;s of: (Checlk One lOr Describe the Natl~it'e of Work)
_.,"~ RooonlOOdioo.oT, r~e\1V C.h'1CI~i'l: f.Q'f l[epl~,e.nt Heaw18 Plant ~or .Ale Cooomser.
ReconnecdoIDl or new ';i1l"ctnit fio:r replilCement Electrk Water Heat.er.
Recoonoo1:iOO ofrhe Servftce E.nttNlce C3ble1 Meter Box~ a.f!temtions t.o receptlilCles and
lighti.:og fixnl1res due to siding! soffit instrd]atiou. l'o'l'ote: New' Service Entrance
Cah]es 'Will require a. sell..~ar.ite pennit.
ReOC>IlneclJiOr.li 01'1" new circuit fo1l" .other. petm::mentl:ywired a:ppuances I fixtur4!."..~.
Other
,'..---'.._....._._-~...,._,.-_..,.....~--"....-,____.,........."."--..-_..-"'--
--......-..--.-............-----....-.....--....."'...--.'----....--'--.-..
---_.......-._--..-._..,.__.-.~_...........___,....._.._---_...--
The value oHhis 'Woric ns $.._l-i(2.._,~o ._._...-
I hereby verify this work will be pe~~rmed by m:I employee of this oompany and fu~ verify the
rcconncx:tion J nnsuUat!tQnll will he dQ~le in. ctOmplitmCe wjtb.manl~fecb.U'er and Electric ~
r:eqllriremems.
0: .. 11 e1~'~
~-~-
(Sjgnll>j\])re ofCompaoy Officell')
._~~..:J(~-'L~L~__
(.Print Nanne of Officer)
-...-(Date)--....-