HomeMy WebLinkAbout0122251-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 233-239 SULLIVAN ST
CITY OF OSHKOSH
No
122251
HV AC PERMIT - APPLICATION AND RECORD
Owner JOHN P SAVAGE
Create Date 10/24/2006
Contractor MARTENS HEATING & COOLING
Fuel MGas UOil
System IJ New
l!'J Forced Air U Radiant
I J Electric I I Hot Water
Chimney Type Chimney A Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 510 - Ind. & Comm-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
I ) Suppl.
I J Solar J Solid
D Other
U NC U Vent
U Con. Burner
Direct Vent Not Applicable
() Not Applicable Value
() Other Value
Use/Nature COMM / MULTI-FAMILY (UNIT 239) / REPLACE FURNACE, EIV PROVIDED BY RP JOST CO INC
of Work
Fees: Valuation . $2:j0
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$31.00
Date 10/24/2006
D Permit Voided I
Parcelld # 0611520000
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.
Date
Signature
Agent/Owner
Address
PO BOX 514
OMRO
WI 54963 - 0
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.
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903~ 1130
Phone (920) 236-5050
Fax (920) 236-5084
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CIJ
Q1HKOjc]
ON THE WATER
HVAC PERMIT APPLICATIO'N
AU infonnation after bold categories must be provided.
Incomplete applications will not be processed.
". Application(s) and fee(s) can be brought to City HaU, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!..i.J!.QJLa1:Li.l.LQntractor (!a.rJ.icipating in tl1.JLpg.J:JJJJJJee,Account S)!.stem and have r.uJ&gJ/fJje funds. check here
fi..J!2Jlwant this llroce:U.!fJl.1..bIough your Cicffiunt D
JOB ADDRESS %:;- ;..~Of) _ s+-
OWNER_ 1:$ ;!'-<-~( a. ~~ haD ""J'=t
CONTRACTORa1cc'~Vtr l+eo~'fJh '\ ~ c d..) i j/Jl-t..~\-._.
'J~
DATE-10
,
14-...2 ~._-
CRgS...1(fl
'110 ... a.. q 95""
CHECK ii1 ALL APPLICABLE
USE CATEGORY
DSingle Family ODuplex OMulti-Family
)8JRental
DCommercial
o Indu..<;trial
}.'UEL
iEGas
DOil
DElectric DSolid
o Solar
SYSTEM
ONew
aOther
r;fReplace
TYPE
~Forced Air o Radi ant o Steam DAle OVent OElectric DHot Water DSuppl.OCon" Burner
IS CHIMNEY BEING UNEDl.ltNo DYes - LINER SIZE___~___ & MANUFACTURER
Note: AU chimneys shall be sized per the BTIJ's being ventced.
cmMm:V TYPE OChimney A DChimney B DDirect V cut ~Other
REA T LOSS DAs Approved ~Existing ONot Applicable
BTU RATE i;BAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WOlUCIlEING DONE_R G f' 1 "cf F '! r ... '" c (:; un d- 0:>"3 ']
-,-.............----
~_'" ........r... ,_
:# ~
VALUE (llThcludmg labor and all materials inehu:lJng light fixtures).$ /5 00. _ t:rO
EI."ECTRICAL CONTRACTOR!: f __~. 00;; ~ ... Ill? 0 Ele.ctric installation Verification form attached(IfRepJacement)
Electrical installation of newkeplacemellt equipment shall be done by licensed CON/Nletoi
v'~ I~q)
tt 3l.0D
3/0;
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PAGE 01
PAGE 61
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Ocr 24 2006 ~
"c{
Electric lastaUatioD Veriftcatiea
(l)(Wo)_Rf :;rJ~ ~.
.. trieaJ Com.n.ctOt Name)
ill't~JI;~ (J~ . 'fL, ,530(!::
(A(ldress) (City) State) (Zip cod~f
havo b_ oontraotodtu poo1brm olccIrio lMt&llotlou W<fIi< fof ~s ~ ~(,Pq.
(Naun.= of ptrty cd to) 0
atthefollowin,lJe.ddr_: ~ r.:f'~q~ ,a~q ~LlULt)Q.rL0t
(Address where: wad win be pctI'fonned)
TIIr. .....--- .".,.,...-.,.
The na~ of the work conaisw ot: (Check One or Deacrlbe the Nat'Imli of Work)
~..
R~cmnec:tiOQ tJf t)ll!'W circuit for replac~t HMMa Pl&o.t aadlor Ale COnd.en$IllJ'.
~tion I){ now circuit for replaeemem BJeetric Water He:ar.
.R~D of the Serviee Entrance Cablt, MOl<< Box, aIt~ to reeeptaclea an4
lishtina fixtI.U'M. due to siding l80tlit iDstaIlatiw. Note; New 8crviQC; Bntrance
Cables will require a ~te permit.
R.econnecti'OD or 11e'W circuit tOT other Pet"Jl'U.'allMtly wintd appliances I flxturea.
Other
l" 11 ..-
.......
,
The valueo{thi8 work is $~$~D-:::J
f hereby vt:rify this work win be: parfOnned by QD employee ofthi, eom:p.ny a:nd furthft verify the
reconneetic,n I inJta.tlation will be done in compliane= with manufacturer 11114 Elect1ic code
requinm
_..~\
y Officer)
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