HomeMy WebLinkAbout0112205-HVAC (boiler; chimney liner)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112205
HVAC PERMIT - APPLICATION AND RECORD
Job Address 626 AMHERST AVE
Owner
BARBARA I KUHN
Create Date 01/05/2005
Contractor MARTENS HEATING & COOLING
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
U Forced Air U Radiant
1 1 Electric 1,(1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
U A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
. Not Applicable
. Other
Value
0
Value
Use/Nature SFR/ Replace boiler, install 3" chimney liner - EIV provided by Hoehne Elect
of Work
Fees: Valuation
$6,265.00
Plan Approval
$0.00
Permit Fee Paid
$99.50
Issued By:
Date 01/05/2005
U Permit Voided 1
Parcelld # 0702880000
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.
12138/2884 14: 17
9286858498
MARTENS HEATlNG
PAGE 02
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Electric Installation Verification
I ~()('h n~ Et.'( -{l1¡L
(Electrical Contractor Name)
li)iJ-í'7ST/ZO,:.J1 Bef(,J-, IJJ/ ,-)(/'1J-3
(Address) (City) (State) (Zip Code)
have been contracted to perform e1ectricinsta11ation work far ~10n\:¡ ~f\1:W9 tC~
ame of patty contracted to)
at the faUowing address: i'o ~ to .~ Ru Jl'fU..lQ. {).ß)-'~MX\ WI5lj9DJ
(Address where wark wm be performed)
The nature o£the wark cansists af: (Check One ar Descnbe the Nature afWark)
~ RecOlmectian Dr new circuit for teplacement Heating P.lant andlar AlC Candenser.
- RecOlU1ectian ar new circuit for replacement Electric Water Heater ar pawer vented
water heater.
- Reronnectian of the Service Entrance Cable, Meter Bax., alteratians to, receptacles
and lighting fixtures due to siding ¡ saffit installation. Note: New Service
Entrance Cables will require a separate pennit.
- Reconnection ar new circuit far the r,",lacement of other permanently wired
appliances ¡fixtures.
- New circuit for the addition af AlC to, an individual dwelling unit (hause or the
individ1l!Ù syStems in a duplex or condominium), including required 5eIVÌ.cc
electrical aulltts.
- Other
The value af this wark is $
r hereby verify this work will be perfarmed by an emplayee oflbi. company and further verify
the reconnection ¡ installatian.will be do.ne in compliance with manufacturer and Electric cade
requirements.
;]Iri¡) /hdlA
(print Name afOfficer)
/-1-05
(Date)
510'
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