HomeMy WebLinkAbout0102826-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 4015 SHARP, ATT DR
MARTENS HEATING & COOLING
Contractor
Fuel I I Gas
System [] New
Forced Air I
Electric
ChimneyType ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate [.~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
bd Radiant
I Hot Water
Chimney B
~] Existing
(,,,) Variable
Owner RANDY/KRISTINE SCHOONOVER
No 102826
Direct Vent
Create Date 07/14/2003
Category 501 - Residential-Air Conditioning Plan
[] Electric ] ~j Solar
[] Repla__c~ ~ E~ Other
Ed steam J [~J AJC J
[] Suppl. ] I ] Con. Burner
~1 Not Appliceble
Not Applicable I Value
Other [ Value
[] Solid
Vent
Use/Nature FPJ Install central air.
of Work
Fees: Valuation $1,185.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] PermitVoided I
$23.00
Date 07114/2003
In the performance of this work, I agree to perform ail work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address P.O. BOX 106 WAUKAU WI 54980 - 106 Telephone Number (920) 685-0111
CiW of Osltkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT A:PPLICATtI j: ??
~ll i~fo~o~ after bold catego~es ~st be
hco~lete ~plications will not be processed.
Application(s) and fee(s) can be brought to Ci~ Hall, Room 205 or ~miled to hspecfi~ Se~ices, PO Box 1128,
Oshkosh WI 54903-1128. Comencing work ~thout pemit(s) ~11 ~sult in fe~ being doubled or $100.00 plus the
noml pe~t fee, which ever is ~eater.
OR
~you ar~ a contractor R~rmit fee Account System and have adequate fu~d~, check here
~u want~rocessed through your account ~
ow R ¼o oeaSe Co-bm
hATE y--/f --03
CHECK I~ ALL APPLICABLE
S E CATEGORY
ingle Family
FUEL FI Oas
FiOil
~Duplex E1Multi-Family E]Rental ~ Comm:ereial VlInd. ustrial
FiElectric f'lSolid SYSTEM F1New FIReplace
FISolar FIOther
FIForced Air ~Radiam v1Steam C ElVent DEledthc FIHot Water ~Suppl. FICon. Burner
IS CHIMNEY ItEING LINED :UNo EIYes - LINER SIZE
Note: All ehimeys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F1Chimney A
fflAs Approved
EIAs Per Plan
FIChimney B
V1Existing
FIVariable
DESCRIPTION OF ALL WORK B:E~G ])'ONE
& MANUFACTURER
F1Direct Vent FIOther
FINot Applicable
VIOther Value
~ ~ ~fl~T~CTO~ ~~ ~ ~ Elec~ic ln~ll~tion Verifie~flo~ form attached(If Replace)
~ x m ~ ...... ~ ' - ': * ~ ' Electrical installation of n~lreplaaement equtpment .*hall be done ~ licens~ contra~