HomeMy WebLinkAbout0099999-HVACOSHKOSH
ON THE WATER
.lob Address 3226 BELLFIELD DR
Contractor MARTENS HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CREATIVE CUSTOM HOMES
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99999
02/03/2003
Other
Vent J
Use/Nature NSFR/ Install heating system for new home.
of Work
Fees: Valuation
Issued By:
$4,005.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$66.50
Date 02/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address P.O. BOX 106 WAUKAU WI 54980 - 106 Telephone Number
(920) 685-6244
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
jos ss
Dor' 6n
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withOut permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor par.t~cipa, tin. g in the Permit .fee Account System and have qd. equate fun.ds, check here
[f i¥ou want this processed th.rough.your acc..ount ~
CHECK [] ALL APPLICABLE
u~.CATEGORY
gle Family ElDuplex [3Multi-Family [3Rental
IZlCommereial
r-llndustrial
FUEL ~s EIElectric [3Solid SYSTEM [3New [3Replace
[3Oil F1Sotar F1Other
ced Air F1Radiant FISteam [3A/C ElVent l-lEteetric [3Hot Water [3Suppl.[3Con. Burner
IS CHIMNEY BEII'qG LINED :[3No [3Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's be'mgvented.
CHIMNEY TYPE FIChimney A j~Chinmey B
HEAT LOSS l~s Approved F1Existing
BTU RATE I~s Per Plan [3Variable
& MANUFACTURER
[~Direct Vent E1Other
EINot Applicable
[3Other Value
ELECTRICAL CONTRACTOR OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new~replacement equipment shall be done by licensed contractors
3/02