HomeMy WebLinkAbout0099994-HVACOSHKOSH
ON THE WATER
.lob Address 3238 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
99994
02/03/2003
Other
Vent J
Use/Nature NSFR/ Install heating system for new home.
of Work
Fees: Valuation
Issued By:
$4,915.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$80.00
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
Incomplete applications will not be processed.
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.ticipatin..z in t.he Permit fee ACcount System .and bare adequate_funds, check here~
iff you want this processed through your account ~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Df'
CHECK [] ALL APPLICABLE
U~.CATEGORY
gle Family
FUEL ~as
FiOil
[]Duplex VIMulti-Family
F1Rental
F'iCommercial Vllndustrial
ElElectric FISolid SYSTEM V1N~w FIReplace
F1 Solar F1Other
ced Air [lRadiant V1Steam EIA/C FiVent FIEleCtric [:lHot Water ElSuppl.FlCon. Burner
IS CItlMNEY BEING LINED .VINo F1Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's berg vented.
CltlMNEY TYPE FlChimney A ]~Chinmey B
It]gAT LOSS ~s Approved FiExisting
BTU RATE ~l,As Per Plan [:]Variable
DESCRIPTION OF ALL WORK BEING DONE ~~~
~Direct Vent FiOther
IZ1Not Applicable
[3Other Value
VALUE (Inelu~ing labor a-d all materials ineludinff liffht fixtures) $ ~ tY, O0 ~
ELECTRICAL CONTRACTOR OR [] Electric Installation Verification form attached(If Replaeem )
~ E]~e-ctrical installation of new/replacement equipment shall be done by licensed contractors
3/02