HomeMy WebLinkAbout0123251-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1382 MARICOPA DR
CITY OF OSHKOSH
No
123251
HVAC PERMIT -APPLICATION AND RECORD
Owner WAUKAU CREEK LLC
Create Date 01/22/2007
Contractor MARTENS HEATING & COOLING
Fuel I J Gas I I Oil
System o New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A C) Chimney B
Heat Loss o As Approved . Existing
BTU Rate r) As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
llither
U AlC U Vent
U Con. Burner
. Not AppliCable
~ Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Use/Nature Multifamily (Apt #3)/ Replace electric furnace. EIV provided by Seckar Electric.
of Work
Value
Value
$1,700.00
~
Plan Approval
$0.00
Permit Fee Paid
$35.50
Fees: Valuation
Issued By:
Date 01/22/2007
o Permit Voided I
Parcelld # 1314950000
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.
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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(t)
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATlON
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ee Account S stem and have ade
()1 Cot('.' (. cJf ~ ...,
Apt .5
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JOB ADDRESS / 3 ~ ,;{
OWNER B,J r ,t k 0''''' '"
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CONTRACTOR t11 0, (- 'f. e... s fiE'''! { . .4,
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..JAN 2 2 ?nn7
, DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
o Single Family DDuplex ~Multi-Family
o Rental
DCommercial
o Industrial
FUEL
O1Gas
DOil
~Electric O1Solid
01 Solar
SYSTEM
DNew
DOther
itReplace
TYPE
C9Forced Air o Radiant DSteam DAlC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED JBNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
OAs Per Plan
DChimney B DDirect Vent
Ii!Existing ON ot Applicable
o Variable DOther Value
R <:1f '4<:.6 J: lec{r,,/(
o Other
I d Kfd,;J
DESCRIPTION OF ALL Wo.RK BEING DONE
^ f-: 1./ i-'! a, C ('
/ \\3'~J\
VALUE (loeludin,labo. aod all "':"alS inclUd:, ~b~xtu.es) $ /100. LfZ> \ }
ELECTRICAL CONTRACTOR.J e c (c:..t:lt r (.:::r (-c OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors
3/02
FROM- :
FAX NO. :9205824909
Aug. 09 2006 06:07AM Pi
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No. T44.7 p, 1
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. ~c;:. Installation Veritication.
JAN 2 2 2007
COMrfu~1~,r&t~[OO:MENT
:rcw.... A>. ..fi;tc ~ ~ tLfC"W Ie . CO}Vl,ff:'}N lIVe..,
~(~triCii1 Cc>nrractor.Name)
5120 COufCThJ4;'1 fl..VMfr~e f?-Okf) /;J IrJrJe-cotVf>./J.:? WI Sl.J~g~
:€Addi'e!is):'" . . '(City,) .(&ate} (Z"tp Code)
1ia~:i#n.comt.iCted:to:peIfor.q1,~c'i~tall3tion'worldOr JAMTl57Y' ~ J.Je-ft-r, 'Y Cs. .
'.' . '(Nameofpaltyoonuacted to)
at1be)fO~;addrs: /3g2.... fiI.!+f/c DfA r>e I U e: A'flT: :fJ;.L~ '''~ , .
.(Adcb:ess.whe:lrC wotkwUl be ~.,~)
~~:~Qf::tllcwo~. cionSi$:ts..~: (Check.Qne.tirDescit'betbe ~olWoik)
.X 'R~~ol1.~'~:~~tfor:r6pJacenlCflt ~PJctandlor Ale CoDdenset.
~. ~=.orn~:ctrCUiHor tl!'Plaeement EIe;:tric WiterBcateror power~enf=d
watCr'heatu..
----.. . ~of.the:Serv.iee EntranM Cable. Meter Box. alterations tQ recepbe1e$
. ".~ U~&..~tQiesudne to sid",S l.soffir :in5r~llati()D. Note:: New Seniee
. ,~,~'wmreqme.:a:separate permit
'.. . :~tiim.ornew:~~mffOT.thuc:p1lCcment otOl:herpcnt18!18fttly wired
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" '. :New:ciicUitroi'thf:additi' of Ale to mi1it:/iVii:fliizl dWMl~ JDlit n.-.- .-
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. '. : :#tih'-ija1taJ:~~i~~..jn a d.l1pJ= otoaitd"mUiiuin). iml~rtg ~ ~
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. th~.v~;of~work.i$. sJiJ 0 : 0 0
l~~y::v~~m~':WOrk ~ll:~'Perf~~ed: by: .an~yee. oftlUs.COftlJ*\y and fi.1t1her.verlfy
'~~r~nectlonl~atJ.On ~'~:@nI m compll.llDCe W1th l;r1~ and Blectlk. cod~
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