HomeMy WebLinkAbout0126241-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 223-229 SULLIVAN ST
CITY OF OSHKOSH
No
126241
HV AC PERMIT - APPLICATION AND RECORD
Owner JOHN P SAVAGE
Plan
Contractor
Create Date 08/13/2007
MARTENS HEATING & COOLING
Category 501 - Residential-Air Conditioning
Fuel
~-~-~
o New
~~~~
U Electric
D~~~~6___
LIAs Approved
KJ As Per Plan
System
Chimney Type
Heat Loss
BTU Rate
U Oil U Electric U Solar J ~-_J
~ 0 Repla~~___~ [lQther ~
~~__J U__~_~m _~=-~ ~A7C~-----1 D~Veri!=~~==:J
U Hot Water _ J rnJlPpl.-~~=::J U~~~J
o Chimney B -__~-~n Dir~~t VenC--=-=-=-=tI:]()l!\pplicable ~
o Existing
( ) . Variable
-~
I
___________ Not Applicable
. Other
Value
Value
Use/Nature -UNIT (#229) / REPLACE CENTRAL AIR UNIT, EIV SIGNED BY D. KAL ELECTRIC
of Work
Fees: Valuation $1,526.00
~/"V"\ \:'
Issued By: -9-L.LI (F
Plan Approval
$0.00
Permit Fee Paid
$34.00
Date 08/13/2007
o Permit Voided I
Parcelld # 0611510300
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.
~. 08/13/2007 14: 3"
City of Oshkosh
Dj~isjon of Inspection Sen.ices
P.O. Box 1130
~osh, VVI54903-1130
Pl~ne(910)236-5050
Fax (920) 236.5084
9205850490
MARTENS HEATING
PAGE 01
~
O{R~9JH
HVAC PERMIT APPLI.CAT;tON
All information after bold categories must be provided.
Ine01nplete applications will not be processed_
. AppHcation(s) and fee(s) can be brollght to CityH:all. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without. pennit(s) will resu.lt in fees being doubled or $100 .00 plus the
nonnal permit fee, which ever is greater.
OR
J,lat~ fund$,. che.ck he..rg
DATE 8 / J 3/0 {
.JOBADDRESS ~ ~ q
OWNER~o.h V\ ~.
CON"'I'RACTOR
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex' ,>QMulti-Family
o Rent:a.1
DCommerciaJ
DIndustrial
FUEI.l
OG8.$
o Oil
OElectric DSolid
o Solar
SYSTEM
.DNew
DOtber
~eplace
TYPE .'v7<
DForced Air ORadiant aSteam~AJC OVent OElectric DHot WQ,t~ OSuppl..DCon. Burner
IS CBIMNEV BEING LINED :DNo OY es ~ LINER SIZE
Note: AU chinmeys ahaU be sized per the BTU's be~g vented.
&. MANUFAC1URER
cmMNEY TYPE
BEAT LOSS
BTU RATE
DChimney A
OAs Approved
DAs Per Plan
DChimney B
OExisting
DVariab1e
ODirect Vent OOther
ON at Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE ~
~OA1~
..
CJ.,uu
VALl.J:E (ln~ludmg labnrllud ~II n'lJllteriA,ll\l including I~ght fixtures) $.-.Lb~, t1-O .:/53t./.oO
ELECTRtCAL CONTRACTOR !l.R. ~ctr'i4: InstalJatien Verif3cMton form a.tt.ac:be(jJ(lr~cplaei!!TTI<l1lt)
E/p.ctr/c(/! Ins((l1111110/1 olnewlrtzplac~'IJt!n! lUlulpmen! s11411 be don" by licel'lSt'Id COl'lrr/l(:'/nr
'J./O~
08/13/2007 14:30
9206850490
MARTENS HEATING
PAGE 02
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~!:i
0.,1 Ttll! wA'l'f!~
C'ly !>f l'~bk.b
Dlv\!Ilell ofl~lKm S<:ll".,,,o::,.
;t 1 $ ClItmllr. ^,......:\
l"O l!JQ3l1J.'!O
0RIIIImtII W'I M9l)2-II.lO
~42o-;!~9aSO
'1'111\ 9;1tl",3(\..SoQll4
Electric In,stall-do... Ved,;fteat:km
(1) (We) __~_P-...L--J<_E-LS1_~-~ t,- .l-~---~_...
(EJectrical C~.tOlr: Name)
~..:I 0 3 ~s-~,:f!~~,L!~-O~ Lv~ ~:tJiJ
(Address) (City) {State) (Zip Code)
have beencon!J1lCfOO to p_ electric i"","]\lltion "''''''' for ~~~, fL...._1
, (N~e of party c.onn:a&d to)
at the following adm-en: dJ_9___SfYJ1Lv.a n ~--;---.
(Address where w,()n. ,\flU be perf.m:med)
Tl)Jf;l ,MtU't'e of the woo-k c.onmsts of: (Chock One Cl!ll' Describe the N.a:l!;1lJJre of Work)
--~
Roccmoootion 01' lI.'llCW c1\ro.1Jlt for replacenn,ent. !:il:41.ing Plant ood/or Ale Conden~er.
Reoonnecri.O:1:Jl o.r new circuit foOl' replaceu,'lent Electric Watelr Heater.
Reco.onecdoo of the Servnce Ell\mmoo Cable, Meter Box, ~ to recepT.acle~ and
liight.i,ng n'X-IDres dlJl,c to siding / soffit instaUatio.n.. Note: New Service Entrance
Cablc.'i win require a separate pe.rmit.
:R~".iO:nnecti(l1l1 OT.new drcui;,t f.or othell' penn~tly wired. a.ppliances / fixtures.
Other
.--
~,_.___,____,__.......a'_._~'__~"'R~,.-......-...._._......--.--I"..._R""___.......__..___._______-~.---....,.----'
--..--...---.--..--- ._._..,._.__.....__.-......----...
..,.--.0.--.-'.
.....---._-..._..__._--_._--~..--.....__._..___..,'.._-,
'The value of this wOl["k is $_.-J_.a..5:,._Q?J.._-_.
I bereby verifY this work win be per~()rrned by 6tI employoo of this company and further verify the
reconD.oction I instnllation will be doOflle in compliance with man,uIaenll'ef and Electric rode
!\equir.em.ents,
CJ~ ~ /J :l-~
K~comPMiY Offic~~) .--
_,~,~'L~Lh,,~~ 11L?4-~-
(Print Namne of Offi~er)
_~~3 !t22,-~
(D~~)