HomeMy WebLinkAbout0101143-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 912 ANCHORAGE CT
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 MICHAEL W/LYNN PAGEL
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type ]~ ChimneyA ~ Chimney B
Heat Loss ]~ As Approved ~ Existing
BTU Rate ]~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101143
04/30/2003
Other J
Vent J
Use/Nature SFR/Replace furnace with 80m and replace a/c 3-ton.
of Work
Fees: Valuation
Issued By:
$5,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$89.00
Date 04/30/2003
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 Osl~osh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
APR 3 0 200.3
DEPARTMENT OF
HVAC PERMI~A~P..'~IGAI~[t~IO P ~I E N T
All information after bold categories must be provided.
Incon~ie~e applifiati°ns will not be prOcessed... ':
O/HKOZH
' ON TH~ W :A~'R .....
· 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 be/rig doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If,you are a contrq_Ct~,or particit;~,tin~ in the Permit ,fee Account ,~vstem,,,and ~ave ,.adeq,uat,e.fun, d~, check here
ff you Want thi$_proee, ssed th..roueh ~)our account
DATE
CONTRACTOR.
CItECK [] ALL APPLICABLE
USE CATEGORY
~gle Family
· i:iDuPteX - DMulti_Family
EIRental
~Commerci.al IDlndustrial
FEEL ~as E1Electric [] Solid SYSTEM VINew ~lace
E]Oil []Solar El'Other
TYPE
.r'~rced Air []Radiant ElSteam~C ElVent ElEleetr/c. []Hot Water EISuppt,E]Con. Burner
IS CItlMNEY BEING LIt-fED i[]No [21.Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's be'rog vented.
CItlMNEY TYPE [:]Chimney A []Chinmey B
HEAT LOSS [:lAs Approved ~Existing
BTU RATE []As Per Plan ElVariable
DESCRIPTION OF ALL WORK BEING DONE~
--.,/) ? ~ ,. · . ..
& MANUFACTURER
ElDirect Vent
[:lNot Applicable
El Other Value
[]Other
..... Electrical installation of new/re~acement equipment shall be done ~ licens~ contra~ors