HomeMy WebLinkAbout0123651-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 802 N SAWYER ST
CITY OF OSHKOSH
No
123651
HV AC PERMIT - APPLICATION AND RECORD
Owner JAMES C MARVIN
Create Date 03/01/2007
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas UOil
System o New
I.!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A C) Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate D As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar ITSolid
o Other
U AlC [IVent
U Con. Burner
() Not Applicable
I Electric
o Replace
U Steam
U Suppl.
. Direct Vent
C) Not Applicable
() Other
Value
Value
Use/Nature SFR / REPLACE FURANCE, EIV SIGNED BY D.KAL ELECTRIC
of Work
Fees: Valuation $2.453.Oj
Issued By: ~.~
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 03/01/2007
o Permit Voided I
Parcelld # 1605480000
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 t cure any necessary approvals before starting such activity.
Signature
Date ~ .0 '/7
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 (Le. 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.
Cily of Oshll,lilSb
P',,,jSi'WI (!f1nspectiol1 s..",,'"-'''
1.15 ClI"""bA""''''''''
PO ra(),~ H30
OsblwsllWI 5<Ul02-11 300
Offioo 9?o-?:OI.,..5051l
f:;l1t 920_23o-S004
OMtOfH
-'Oi\iTi:tE"'WATEA -
Electric lestaUatio-. Verifie:a:tMB
(I) (We) __Q ,f5.~L- Eli.E- t r~,=____
(Electrical Cont1l"actor Name)
51-D2- R. vs~~.~11~---Q~r:. 0 _LJi.-_~'t'9 g
(Ad.dress) (City) (State) (Zip Code)
,.-.-
have been ccmtracted to perfoin::!. electric ins.taUation work fo:r _;J ~~ 7 -~ey--\/ ~ --------.,
(N2lIDe of tl-arty cantmcted to)
.~fu~~:_~_~~~~~~r~~~
(Add" ess where wbrk will be perfoooed)
--~~
The: natu..1t'e of the w'ork cm.lsi.!i>ts. of: (Cbe(:k One or DeSGf.ibe fche Nat~ife of Work)
m~oooniOection or new circuit f(.lif replacemen:t Hel1!dng Plant and/or Ale Condenser.
Recou:necti.on or new- circuit f~)r. repl:i.lCetIJlent Electric 'Water Heater.
Reconnection of t.he Service En:ttmce Cable, M.eter Box, alterations t.o receptacles and
ligbtillg fixntres due to siding I soffit iMift::al1btion" Note: New Service Entrance
Cab~es win require a. SeJ\:1ara,te penuit.
Reconn:ection or new drcuit f(}f other Pem:la1llootly wired applil:3ilTlces / fixtures.
Other
"------------~"'...---~.---..,"_.._,,-----_._---.---._~'-'"_..,...-------"""~----...
.......--..._""'..........--_._-----~--_.._----_._-.,........._.._.-,...---.~_.-.-.._----_.-----........-.---....-..---.-------"""...----._--------~--.-
___.._...__---.~-",.-.-"--.-.-.".~-..--~.,.~..,......,."-.-,..---.-.~...,---.........,.-~__~...__...,...",-."I"........,....,..................-.---,.........,......-.----.--~--"--.--r-
'The value ofthis work is $___L ~ O..~._e.."
I hereby verify this. work win be pellformed by an em,ploye:e of this cO'llllpany aad further verify the
recounection I insullati01ll win be done in com.pHance with manufacturer Wld Electric code
requirem.ent.s.
0_ ~JJ j__~
if(~~._~~~-:-'----:-
(Slgnatule of Company O.fficei\)
._ ~~d~--:J~~ l/q'J-__.__
(Print. Name of Officer)
a..it? () 7
~- --"-?"-----...---.
(Daf.e)
:-: 03/02/2007
i
14:1'3
'32068504'30
MARTENS HEATING
PAGE 01
~
~~g'H
C~~y of Oshk()~h
Dhrj~ion pflTl!!pccI.inn S<rr"je<:~
:ll$ enure', ^V~M
PO Bar. 1130
O~ltk(1:;h Wl ;.400~-1' 3l)
om". !t;l.(\.,-~ 6-$0.$0
Fax 920.:!-,(;.S(l~4
I(VVe)~~~~-
Electric InstaUation Verification
r(l a. '('" v.' V\ _, ~
(print homeowner(s) name)
the hom.eowner(s) of 1 D,p...
iY.. . S Cl u...> ~ eo.. S \t-
(address where wor. is to be perfol1ned)
a.ccept the responsibility for perfonning the electrical '~ork as stated below for th.e property listed
above.
The nature of the wor.k consists oJ:: (Check 01i.e or Describe the Nature ofWol'k)
,_6econnectiol1 or n.ew circujt for :repla.cen1~nt Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacenlent EJectdc Water Hea,ter or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box~ alterations to recepta.cles
.and lighting nxtw:es due to sidiIlg / soffit jn$talIation. Note: New Service
Entrance Cables wHl require a separate pennit.
ReCOllllecti.on or n.ew circuit for the repla.cement of other pennanently wired
appliances I fixtu,ros.
New circuit for the addition ofA/C to an individu.al dwelling unit, i:oclu,ding
required service electrical out.lets. Note: I-rOI?1.eov.>ners can. only do their own
electric on a singlefamily oW!~er occupied home. Work on a condominium.,
duplex, rental, or multi-use building would requi,'e cr. licensed ]nostel'
electrictan.
Oth.er
.--...-.--...
The value ofl1us work is $ 00 > oV
"
I hereby vedfy this work will be perfonned by me an.d .further verify the reconnection /
installation wHl be done in comphance with manufa.cturer and Electric code requirements.
'3-~-CJ$
(Date)
5/02
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903~ 1130
Phone (920) 236~5050
Fax (920) 236-5084
~
O{tjS91t1
HVAC P'ERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and feels) can be brought to City Hall, Room 205 or moiled to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. commencing wort< without permit( s) will result in fees being douhled or $100.00 pins the
normal permit fee, which ever is greater.
OR
Ii fOU are 0 contractor participating in the Perm;' ee Account Svstem and have adequate fund,. check here
i 01.1 want this r cessed tlzrou h OUl' account
DATE;1 d?, 07
JOBADDRESS ~O~ N. S~w yer- S<f--'
OWNER~Mes tvlarU-'h
CONTRACTOR_M (A('-T e ~f tf-ea.+.r"t 7_ .,. C-Q,2( !tni
CRECK 6ZI ALL APPLICABLE
US~ CATEGORY
mingle Family ODuplex OMu1ti~Family
ORental
OCommercial
DIndustrial
FUEL
~s
OOil
DElectric DSolid
o Solar
SYSTEM
ONew
DOther
~(~e
~ed Air ORadiantOSteam ONe OVent OElectrlc OHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED :~ DYes "LINER SIZE_- & MANUFACTURER
Note: AU chimneys shall be sized per the B1'U's being vented.
DESCJ.UPTlON OF ALL WOftK BEING DONE a € f (a c.E
OChimney A
OAs Approved
OAs Per Plan
DC~1ey B
lBEX~g
EWariable
~Vent
ONot Applicable
DOther Value
aOther
Cffi.MNEY TYPE
REA T LOSS
BTIJ RATE
Fur V'7. a c...e
:
VALUE (Including labor and an materials including light fixtures) $ ;;J. 'I S3. ~
ELECTRICAl" CONTRACTOR 0, 1::'1../ OR ~ E!cctrk .Installation Verification f~rm attaebed(lfReplacement)
ElectrIcal mswllatlo/l. ofnewlreplacemenl equipment shall be done try Ucensed contrac
3/