HomeMy WebLinkAbout0102570-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
659 EVANS ST
MARTENS HEATING & COOLING
System [~.New
No 102570
Fuel I IGas I I IOil
~ Forced Air ~ ~j Radiant
I I Elec'[ric I I I Hot Water
~,~ Chimney B
Owner KEITH RJMICHELL WOLFE
Category 502 - Residential-Both
I I Electric
[~_ Replace ~
I LI Steam
Create Date 07/01/2003
Plan
I I solar I [~ Solid
J~_ Other
L~J NC J L~ vent
I ,I Suppl.
ChimneyType L) ChimneyA
Heat Loss (..) As Approved { ~ Existing
BTU Rate ~ ~ As Per Plan OVadable
Direct Vent
k,,.,J Con. Burner I
~ Not Applicable J
~J~ Not Applicable J Value
~ Other I Value
Use/Nature [SFR/Replace furnace & add central air.
of Work
Fees: Valuation
Issued By: k ~
$5,900.00 Plan Approval $0.00 Permit Fee Paid
[] PermitVoided [
$93.50
Date 07/01/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~,/~..-,,~/~z"2'~ '/~/~Agent/Owner Date
Address P.O. BOX 106 WAUKAU WI 54980 - 106 Telephone Number
7-/-
(920) 685-0111
City of Oshkosh
Division of Inspection Services
P~O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERth&iT APPLICATION
Ail fnfornmtion after bold categories must be provided.
Incomplete applications will not be processed.
OZHKO/H
Application(s) and fee(s) can be brought to City Hall, Room 205 or ma/ted to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work'adthout permit(s) will msutt in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~O_U are_~a coBt~_r.~actor partic~.p-atin~:jn the permit fee Account System and have adeq.uate fun. ds, check here
~ou ~ant this processed through. ¢our account..[[]
ow R Iff inch ce-
CI-IECK I~ ALL AI?lffLICAlttLE
CATEGOP~Y
ngle Family I21Duplex fflMnlti-Family FIRental [3Commercial
FUEL I21Gas I-lElectric ElSolid SYSTEM ~OO~Ver~
[.]Oil ~Sotar
IDlndustrial
T E
~oo~ced Air ~Radia~t ~Steam ~(¢~/C ~Vent ~Ele~tric ~Hot Water ElSuppt.[21Con. Burner
Note: AH ehfimeys sh~l be sized per ~e B~'s being vented. ·
Cffi~qEY ~E ~Chi~y A ~Chimey B ~Direct Vent ~Other
~AT LOSS ~As Approved ~Existing ~Not Applicable
BTU RATE ~As Per PI~ ~Variable ~Oth~ Value
DESQmPTION OF ~L WO~ BErG DO~~~~ t
ELECTIIICAL CONTRACTOR ~ ]~ t/P~' O]~ ~ Electric lnstallatioa Verification form at~ached(If Replacement)
~-- EJ~trictll#lstaEationofnew/replacementequipmentshallbedonebylicensedc°ntract°