HomeMy WebLinkAbout2007-HVAC (furnace)
.
OSHKOSH
ON THE WATER
Job Address 900 MARICOPA DR
CITY OF OSHKOSH
No
123145
HVAC PERMIT -APPLICATION AND RECORD
Owner GARRY R BLOMBERG
Create Date 01/10/2007
Contractor MARTENS HEATING & COOLING
Fuel l!J Gas UOil ~
System o New
~ Forced Air UBadiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss D As Approved () Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
I
~
I
. Not Applicable
. Other
Use/Nature SFR / REPLACE FURNACE, EIV PROVIDED BY D.KAL ELECTRIC ""debt acct
of Work
Value
Value
Fees: Valuation . J'571.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$49.00
Date 01/10/2007
o Permit Voided I
Parcelld # 1312830000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 514
OMRO
WI 54963-0
Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
01/10/2007 09:56 9206850490 MARTENS HEATING PAGE 01
Cary of Q~sJakosh
Dirrision of lat4pe~'tlotm Services
p.Q, L;o7c 11134
(~1WSb, y11i. a490:~-Z 130
pbtitte (920) 236-SC~54
Fttx 4~zo) a~~-s~R~
s
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><:1 ~ ~~~'~'~ p~[~xlri-Fama1Y D~eaata.t L7C~~a1 Gi;[n~dustral
~~ip~1e F~~naiy C1J~~a~~ex
Dl~lcctric ^4~nlid SX~%~ C~New ~epls~c~
~,~, D~Otlux _ .
nr~d Ca~o~ar
1AN 10 2Q~7
p~~/,A,.~ ~''~'~'~ ,~#~LIC,~kT~~l
All isa~orXr-mriozt met bold cate~aties !'K1tt-~ be rrovid~edl.
l~cntaaplete s.I-plicmai,taxts will nor ~ pr~c-cEased.
~~~
can. bc: }aro+a ,lZt to C'i.ty kl~ll, Roc~xn 245 or, nnail~d w lxuspecti4at Set'Vtcos, ~"~ BOX 1 ~2$,
and fc~s) ~' doubled ox $l(1d.M1 plus the
.('~pplxca~tio~+a(^) oin wcwrlt wit1nc~ut iaernnir(s) wAll ce~:ttlt iz- fae~ boi~tg
~ahk~14h W~ tt fec, wxti~cli ever ins ~ sRex~
n,~,ri1@aa ~~ t ~gd..c, e7t_~S~P~
~~rced .F1ar f~. .di~,r iCaSte~am faP~~C ~]Slerat ®EleGt~ic D~r3ot ~liTater C]S~.DCor-.
0 6~~'cs - L~~R 5iT_.l^--^~^.. +~ ~--N~J~A.C
xS ~C~~~X ~xNG L-~ :~ BTU's leut~ trerarccl.
ri{Irs:.It.ll C111.PXltte shall }~ vtzecl per
I~Chi~me3~ ~ L CMirnaaey B rece We~at DOclaer
~;~,~1>ti,X "K'"K ~ DNor A:p~+~~ca~le
kiF+.11,,7' ~~$9 f>I~.g .A.pl~'~ved C1~xisrin~ r..
~',f'11 ~t.A."X'k~ DI1.q !Fox Elam D~,1~ri~rle ClC~tfier V~.Aue _,_.~_
)u1CSC~1P"~~. ~~' ~.><~~ ~'~ i~k:xNC: ~3~N1~.,,.._ J' I ~,q~2> .,~
....~- 9.r# Raa~rsx' atar~ mllA 1~A,~ima~ ~ncpga~u4iwng 1e.glhk ~Fiytorae'es) ~~~--1 " -~~ O
Q I~lecexic Ir~AFladam Ve~t~lydm i+arltA atttx,cb~IfRcr+laccmatt)
.G:7L~~'T~C.Al. i CIC1~T"A'~C+'~.lC7f'~]~".,Y,,,,_.-_...._.-.~ _~--- ~e~! incroJlirlrnn o~'n~+dnt~~~cetrAC-u egrdpn~aeer sFurll ha d~r»~ hj, lice»eAd coerrra4
~/
01/10/2007 09:55
9205850490
MARTENS HEATING
PAGE 02
~.)
JAN 1 0 2001
~
07H<0I1=i
---oi-iT;:;r~
CilyofOllhl(ll!lllll
OhrisiQ1l (\f11l1lP.~li"" So"'i"l:'
''is CfWI:'Ch ^""I'I><:
pO Box 11 ~n
Oabk05l1 WI 54!I02.IUIl .
()ffi<u! no-236-SO~
1'l\l[ ~,.n.:!3o..50R4
Electric Installatio.D Verlficadon
(I) (We) .._ O~~
_'t..10 3
(Address)
l~ Q. I E I (7 c...i" r .' '":::-
(Electrical Contractor Name)
fD;sh-forcJ. -11v.~ _fl.tn.ra-_.
(City)
tJ/
(State)
S-1163.
(Zip Code)
have been contracted to perform electric i11sta.Hatiol1 wor.k far
m r.1:: ,
f party contracted tOl r-'
at the following addr.e.."t~: 900
tiau: f CQfJO--
(Address where work will be performed) .
Th.e na.ture of the work consists of: (Check One Of Describe the Nature of Work)
.~ Reco:lJlOection or Jl~V d,rcl.lIh for. replacem.mt J:leBiting Plant and/or NC Condenset'o
Reconnection or new drc1.tnt for replace.ment Electric Water Heater.
Reconnecti,oo oftbe Service Entmnce Cable, Meter Box, alterations to receptaCles and
lighting fixtures d.ue tlO siding I soffit msta,Uation. Note: New Service .Entrance
, Cables win require a separa~:e permit. .
Reconnectiol} or new circuit fol!' other penna.nently wired appliances I fixttu-es.
Other
The V2lJ'l.le Qfthls work is $___.__..~,
J. hereby v~.fy this work will be perfonned by an employme of this company a.'Bd further verifY the
reconnection I installation will be done in compliance with manufactl.1rer and .Electric code
requirements.
CJ -/J.1-~
~~C_YOffi~)
._~.niC J L. t(~ 1/t:i5
(Print Name of Officer)
./-L()~()l
(Date)