HomeMy WebLinkAbout0126301-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1825 OHIO ST
CITY OF OSHKOSH
No
126301
HV AC PERMIT - APPLICATION AND RECORD
Owner MIKE ZESSIN
Create Date 07/11/2007
Contractor
MARTENS HEATING & COOLING
Category 500 - Residential-Heating & Ventilating
Plan
BTU Rate
~s U Oil 1 U Electric J LJ Solar
~ New 0 Replace ____
0f=Orced Air I U Radiant I U Steam I U NC
U Electric I U Hot Water J ~~E!~--.J U_ Con. Burner
D Chimney f7.~__.__ () Chimney B___ Direct Vent ______~Iic:>!i\pplicablE3......~
~ ApprC?.~~__-=n.~~~---'::==~_.~AppHcabie.-:==.:J Value
IT As Per E'~____:.=:::D.Vari~.::==_-='-:: Oth~__ __=:=:-==_=== Value
~_J
~Other J
rrvent I
Fuel
System
Chimney Type
Heat Loss
----.-----.------.--~---~-------.--------l
i
I
J
Use/Nature INSFR /INSTALL HVAC.SYSTEM FOR NEW HOME **debt acct
of Work I
Fees: Valuation _.____.__~~2.E<1:.QQ
Issued By: '?5Yn~
Plan Approval $0.00
Permit Fee Paid ______~:50
Date 08/16/2007
D Permit Voided I
Parcelld # 1407700000
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
AUG 1 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~
OfHKOJH
ON THE WATER
HVAC PERMIT APPLICATtON
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
i ou want this r
e AccountS stem and have ade
I
DATE
gll'l/07
f .
JOBADDRESS 18~5" Ohio
OWNER rn j k e.. Z e s s i h
CONTllACfOR Marten5 1-1&1/1(1& -I- (!o()/l':j'
CHECK ~ ALL APPLICABLE
~ CATEGORY
~ingle Family DDuplex
OMulti-Family
ORental
OCommercial
o Industrial
FUEL
/)'Gas
DOH
DElectric OSolid
o Solar
SYSTEM
~ew
OOther
DReplace
TYPE
~orced Air DRadiant DSteam ONC DVent OElectric DRot Water OSuppl.OCon. Bumer
IS CHIMNEY BEING LINED .ONo elVes - LINER SIZE
Note: All chimneys shall be sized per the BTU's bejng vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
OExisting
OVariable
~ect Vent o Other
ONot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE IJv Iff!. ~./)'( R4 J ~
VALUE (Including labor and all materials including light fixtures) $ ,'3 c5l. 50 100
59,50
ELECTIUCALCONTRACTOR
OR 0 Electric Installation Verification form attached(lfReplacement)
Electrical installation ofnew/replacemem equipment shall be done by licensed contractol
3/0;