HomeMy WebLinkAbout2003-HVAC (furnace/a/c/chimney)OSHKOSH
ON THE WATER
.lob Address 701 WASHINGTON AVE
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 TIMOTHY D/JEAN GAETZKE
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~ Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
105609
12/05/2003
Other
Vent J
Use/Nature SFR/Replace furnace, install media filter, air conditioner, humidifier and chimney liner. *EIV form from Hoehne Electric.
of Work
Fees: Valuation
Issued By:
$3,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$59.00
Date 12/05/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 106 WAUKAU WI 54980 - 106 Telephone Number
920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Electric Installation Verification
(We)
.:..~ ~ (Elec~cal Contractor Name)
(Address) (City)
have been contracted to perform electric installation work for
at the following address: "~ (~)/
(State) (zip Ciid~)~
(Name of party eontract~ to)
. ~i ~, :,:
The nature of the work consists of: (Check One or Describe the Nature of Work)
1/' Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to recePta~les
and lighting fixtures due to siding / soffit installation. Note: New Service
E~tranco Cables will require a separate Permit.
Reconnect[on or new circuit for the replacement of other permanently wired
appliances / fixtures.
~'/ New circuit for the addition of AJC to an individual dwelling unit (house or the
individual systems ~n a duplex or condominium), including required service
electrical outlels.
Other
I hereby verify this work will be performed by an employee of this company and further verify
the reconneotion //nstallation will be done in compliance with manufacturer and Electric code
reqmrements.
--~'X~ature o9 Co~npany Officer)
(Print Name of Officer)
(Date)