HomeMy WebLinkAbout0126063-HVAC (a/c)
o
OSHKOSH
ON THE WATER
Job Address 1906 SIMPSON ST
CITY OF OSHKOSH
No
126063
HVAC PERMIT -APPLICATION AND RECORD
Owner STEPHEN M SCHRANK
Create Date 08/03/2007
Contractor MARTENS HEATING & COOLING
Fuel U Gas UOil
System o New
U Forced Air U Radiant
t J Electric U Hot Water
Chimney Type ~) Chimney A () Chimney B
Heat Loss ~) As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
~ Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
o Other
l.!::J AlC U Vent
LJ Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature ~FR / Replace a/c. EIV provided by D Kal Electric. "DEBIT ACCT".
of Work
Fees: Valuation
$1,750.00
~
Plan Approval
$0.00
Permit Fee Paid
$37.00
Issued By:
Date 08/03/2007
o Permit Voided I
Parcelld # 1409750000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 514
OMRO
WI 54963 - 514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ 08/03/2007 07:48
City of O~hko~h
Division of Inspection Services
P.O. Box lOO
Oshkosh~ WJ 54903~1130
Phone (920) 236~5050
Fax (920) 236.5084
'32058504'30
MARTENS HEATING
PAGE 01
(t)
OJRK01B
01\1 TI"" wATF.:R
HVAC P'ERMlT APPLICATION
All infon;natioD after bold categories must be provided.
Incomplet~ 3Wlications wit\ not be processed.
. Application(s) and f'ee(s) can be brought to City HaJll Room 205 or mailed, to Inspection Service$, PO Box 1128,
Oshkosb WI 54903-1128. Commencing work without permit(s) will result in fees being doubled. or $100.00 plus the
nonnal permit fee, which ever is grea,ter. .
OR
1f..J!.!lJLJue (l.J;Jllj tra C (t) r TUZ 1'. r.i d 1)f).r.i.11JLf.JJ~e I"m i
,ijyJ2)J. want thi,,'i.-.JlU,S..llSSed throlJ~h VQll "ace ilia
e ~f)'lJ.nt S.J!.>~te7f! and ha,Je lul,(Ul.Jif;ue (Imds.. r;.bHlLhere
DATE
J/2/07
.JOB A.DDRESS_/10f2 S/mjJ SQ..()
OWNER ..ste..ve -5<illro n/<.
CONTRACTOR-HQr...t e h 5
(!, Dolt",?, '
+f tPD-lint- i-
CHECK 6'l ALL APPI...JCABJ...E
~E CA.'IEGORY
R-'3ingle Family ODuplex
ClMu.lti-Family
o Rental
DCommerc:ial
Otndusttial
FUEL
OGas
DOil
~leCtric O,9{)lid
OSolal'
SYSTEM
ONew
DOther'
~lace
TYPE ~
OForced A.ir DRadiantOStealn ~C OVent OElectric DRot Water OSuppl,.DCon. Burner
IS CHIMNEY BEING LI~D.~ DYes - LINER SIZE.---_ & MANUFACTURER
Note: All chimneys shall be sized per the STIrs be~g vented.
CBlJ.\.fNEY TYPE DChimney A DChimney B ODirect Vent pOther
REA T LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan OVariable OOther Value
DESCIUPTION OF ALL WORK :BEING ])oNE,_~ 11C!..-.-
V ALIJ:E (Indudibg la,bor and an mAterials including light fi.xtllres) ,~ /7 SO, ()O
~31.DO
ELECnuCALCONTRACTOR
QB. 1;1 Elet.t.rlc Inetl\IIAdnn Verffiea1iion f/lrm ll.ttacbed(lf Replll.Cemenl)
Elf!C~ 111.w1l1ati()/f Oflll?:wll'l;p/lIte/ll(,Jllllfllllpme.nt sh.tlll be. d()tl~ 11)' UCl!l1u4 c,mtract.o.
IQ.~
I ~~ 0
~/o:
08/03/2007 07:48
9206850490
MARTENS HEATING
PAGE 02
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fjl~ \):1(1.~l(>..~OR4
E,leetrlc IJlstallatio.. Ved,fleetlo.
(1) (We) __...-.Q__l-.k ~} .~.L~~ 1:c- ~~_""M",_-'--'---
(E~ec,1tri~] Coot.r~.ct.or Name)
.:t:LQ3___rs~,>h1'~t_~(lc':!..:-~",__.__9 ~~.9_~_~~.~Yf_~J.
-. (Addrer:ls) (City) (State) (Zip Code)
b.ve'.... eonlnCled top",!""'" electric instalblion w"'k fpr 2ft lI.e ~('-,h ra r7 k-,
(Nam.1C of parity contracted to)
;1\t the foJJowIlOg address: ~L9...06.-_.,_Sl~e~SaL::} - . -. . . .
(Addrc:.so.\' wbf.'J'e wo.rk wI.11I be perf;ormed)
Tb.c, n.aJrUTe: ofthe 'woric cOl\l~1l:s ~~f: (Chock One (l1l~. Describe It]ltf} Na'lllre of Work)
.~ Rec:onlOleoHoo. 011" ~Aev..' d1"C'lLH 1b'l."re.pl~erllle:at Ue.allting Plant UJd/Q( ,Ale Conden..qe!,.
Recoooec1rim~ or lOR,W CiliCui\t (011: rep)la.c~etr:lt E:Rectric Water H.ea1:c.'T.
Reconnectj{m ofthe Service Enttanr..f:i Cab~e, Mcf;e.r :9014 a1ter'm:i.ons. 10 rec.ept.a.C'.les Qnd
'Kighl]l1g fi:x:tures. due to siding / SQJf:fil i1ilS1:aUatioo. Note.: Nm'tV Service Entrance
C~ID,les win req~1Ljre 3. s;ep.'l:~rate PeJllUjt,.
Re.conne.ctio1l1or nev.r dt'cuir~: fo.r .other pe.ro".s:nently wired sppli~ces I fixnrres.
()tiler
-.-....,--....----......----" .-,......,..--,.....-..-----.,.........------.....'...-....-
._,.,._~_......-._---_.,..._-,...-'--.... ._--......-...."...-..-_.....--_..,...-_...__._---_..,.~_._'--_._-_..~-
_._..~........_--_......__....,' "'-_..,'"'.,.-..._-_.........--~---'-._--y-----_..----_....._-,.----
The v~Jue oftbis work ~s $._."_.LgQ!-O:!_,,...--:
X hereby verify this work wiil he pel'i"f(~m~ed by au em.pl^';;ee oftbis company a1'.ld fu~ venD' tbe
rcconnecti.on / iJllstrUbttkm wm be d",-,ne nn cOimpH"nc.e wjfb man.~d'actt.U'er and Electric code
requirement'; .
o rJ ~-~
~~..
{Sign~i:un~ (IlfGon~]1:M~1':1IY Officer)
...-:.L1r..~e L~.J(~ t~__~
(Print Name orOffica)
-4} Ita__
(D8te)