HomeMy WebLinkAbout0099998-HVACOSHKOSH
ON THE WATER
.lob Address 3214 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 & DEVELOP
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
99998
02/03/2003
Other
Vent J
Use/Nature NSFR/ Install heating system for new home.
of Work
Fees: Valuation
Issued By:
$3,955.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$65.00
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
8 2oo: O./HKO H
.... ON T'H~ V~AiE'~ "
HVAC PERMIT
All infomhon after bold categohes must be provi~.
Incomplete applications ~11 not be processed.
jOS D SS
re u ,i vc
CONTRACTOR P~ o.rte ~ s
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. 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.(ci_~atin.~ in t.he Permit fee Account System and have adequate fun..ds, check here
i. f you want this processed through.¥ou.r account ~
CHECK [] ALL APPLICABLE
o.k_rlgCATEGORY
le Family ElDuplex F1Multi-Family F1Rental
F1Commercial
[2Industrial
FUEL ~Q. as EIElectric FISolid SYSTEM F1New FIReplace
~(~il FISolar V1Other
TorE
ced Air FiRadiant F1Steam FIA/C EIVent UlEleCtric' F1Hot Water FiSuppl. FlCon. Burner
IS CHI?~Y BEING LINED iFINo FIYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's be'rog vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A ~Chinmey B [~Direct Vent
HEAT LOSS ~[~As Approved FlExisting YlNot Applicable
BTU RATE [~s Per Plan ElVariable F1Other Value
I)ESCRI]PTIONpF ALL WORK BEING DONE~
EIOther
ELECTRICAL CONTRACTOR , OR [] Electric Installation Verification form attached(If Replacement)
Ele---'ctrical installation of new~replacement equipment shall be done by licensed contractors
3/02