HomeMy WebLinkAbout0100332-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 107 FULTON AVE
Contractor MARTENS HEATING & COOLING
Fuel ~J Gas ~
System ~J New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner HERRELL DEVELOPMENT LLC
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 I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100332
02/25/2003
Other
Vent J
Use/Nature SFR/LATE PERMIT/Install 60m furnace & insulated ductwork in the attic.
of Work
Fees: Valuation
Issued By:
$2,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$141.00
Date 03/21/2003
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) 685-0111
City of Oshkosh
Division of Inspection Services
p.o. Box 1130 --~'
Fax (92~
-~ 0~: HVAC PE:RMIT APPLICATION
"~'.~ ~"~.~.j, _~l[~mation after bold categories must be provided.
~r~ .~t ~}~ Incom lete applications ~11 not be processed.
Applica~(s) and fee(s) can be brought to CiW Hall, Room 205 or marled to hspec~on Semites, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without pemit(s) will result in fees berg doubled or $100.00 plus the
nomal p~it fee, which ever is ~eater.
OR
~ou are a contractor participati~.g in the Permit fee ~ccount System and have adequate_funds, check here
~.~vou want this processed th.rough your account ~
om~ ~erre'lt, Deva]opmen~ LLC
CItECK [] ALL APPLICABLE
USE CATEGORY
~ingle Family
ElDuplex E1Multi-Family
-ElRental
F1Commercial
FUEL ,J~hGas EIEl:ectric ElSolid SYSTEM ~New
[3Oil FISolar F1Other
i~Industrial
FIReplace
PE
orced Air ElRadiant .F1Steam EIA/C ElVent FtElectric F1Hot Water EISuppl. ElCon. Bumer
IS CH13~NEY BEING LINED !-lNo [3Yes - LINER SIZE.
Note: All chimneys shall be s/zed per the BTU's be'.mg vented.
CHIM~qEY TYPE ElChinmey A I-IChinmey B [3Direct Vent EIOther
ItEAT LOSS [3As Approved F1Existing ElNot Applicable
BTU RATE F1As Per Plan [3Variable F1Other Value
scmmo
~ / ~, ;,'.-- ~ ,~/~-d. ~ r~~~.4~~,~~ ~
& MANUFACTURER
VALUE (Ineludi. g labor a.d all materials including light fixtures) $ r~ ~']00.0 0 ~q]
' E~ctrical installation of new/replacement equipment shall be done ~ licensed contra~ors
3/02