HomeMy WebLinkAbout0125972-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 2323 DOTY ST
CITY OF OSHKOSH
No
125972
HV AC PERMIT - APPLICATION AND RECORD
Owner JAMES H/NANCY L BARTELT
Create Date 07/26/2007
Contractor MARTENS HEATING & COOLING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U NC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR 1 Replace furnace. Install 3" chimney liner. EIV provided by D Kal Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$3,000.00
~4
Plan Approval
$0.00
Permit Fee Paid
$55.00
Date 07/26/2007
Issued By:
D Permit Voided I
Parcelld # 1403250000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 - 514 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.
i
07/25/2007 15:18
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MARTENS
PAGE 01
9205850490
City of Oshkosb
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236.5050
Fax (920)236-5084
HVAC P'ERMIT APPLICATJ.ON
All information after bold categories must be provided.
Incomplete applications will not b~ processed.
. Applic.ation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to In.spection Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work without pennit(s) will resl.llt in fees being doubled or $100.00 plus the
normal permit fee~ which ever is greater. .
OR
TfVOlJ are, a !=Q'Tltractol' lul.rJiciTlati!/.g in the Pe'J.'!ljtJ.e.~..JJ;J;.QJUJJ...$.yJ:1filJJ_fl.ftfllt.{Jlle adel/uate funds, check here
f.f..)I{m want this~!uJd t~f_Q~r;QU/lt ~ . .. .
DATE7-4S-07
JOB ADDRESS cX3rJ 3 fJo-fy 51.
OWNER~me.s fud~
CONTRACTOR
CRECK a ALl.. APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
o Renta.1
DCommercial
DTndustrial
FUEL
~as
DOil
~eplace
SYSTEM
DNew
DOtb~
DElectrie DSolid.
o Solar
~~ed Air ORs.diant DStcam DAle DVent OElectric DRot Water OSuppl.DCon, Burner
IS C~Y BEING LINED .DNo ~es - LINER SIZE.3 i3S" & MANUFACTURER~~
N01:e: All chinmeys shaH be s"ized per the BTU's being VE:l1t:ed.
ClIlMNEY TYPE OChinmey A OChimney B eloirect Vellt o Other
HEAT LOSS DAs Approved OE:xisting DNot Applicahle
8TIJ RATE DAs Per Plan OVariable DOther Va.lue
DESCRIPll0NOF ALJ~ WORKBEJNGDONE~ _..
v At.tJE (:fneh,uling 1.0" :and all materials In..-:ht.d.ing light fbrtllres) $. ,,3 D()Q ~ t:1O
55' 00
ELECTRlC.<\L CONTRACTOR
QB. ~EI~ctrlc TlIstll:llAtiQO Vcrffica~lon form attached(t( Rc:-placement)
Electl'lalr} fnsttfJlollon (If newlrepln.r-emcnr eqv.ipmml .'l/r,all be d()n~ by UCeJ/,'lecl coJ'Zlrm:m,
q1V
1J6
3/0:
07/25/2007
PAGE 02
, 9206850490
MARTENS HEATING
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F~" 91.0.23(~!H)fi4
Electric Installatio.ft Ve.dfiea.tkm.
(I) (We) __;.D__t..._.k&_~"..r;~LgS- tc~c:'_---_w
(.Elecnica'. Cc)lm~J-ac~~,Of; Name) ,
...1- ~Q.~.__~ ~?:0 -t? r:~1.._A~'::!.~_~",__9 ML_o._ l.c..J f~ S-Y9 ty
-. (Address) {cay) (S1:at~) (Zip Code)
h~ve been e(mtJracted. to perform eledric i1l1staUat;oD work forvaates -6a rt.d.f=..,----~~
. (Nmne ,of party conUac,t~d to)
}It the following addre..~.s: .c13r2,3___...lli -/., j '"-~. . ...-;----- .,----..-----.
(Adtt..':lS where work wdl. be performed)
The natl.l.T'e of t.he work ('~.st.s of : (Check One or Describe the N.mt:ul:'e of W OTk)
__1<.. RecoDn~~ion or rlle'llV d1t'CU]1 f<O>J' i\"epAl!kCelOOi.~: H~.ati.ug Plant 8ndl~ Ale C01'\den!!ler.
Recannecdo1Jl o.r l~\'V drcuit for replac~ent: Electric Water Heater.
Re-.coonecti.on of t.he Scnrice EntrtllQce C;able~ Met.er Box~ ~ to receptacles end
],igbtimg fixtlUtlres due to sliding I $Offi.t installation. N4.')te: New Service Entrance
Cab~,es "Win requflre ~l sep:r!rat.e perrmit. .
RooDnn:ectilon or new circuit for other pe.lllnarU!l;nt]y 'lIV:ired appliances I fixtmes.
Otber
_w__.._......--.-_...--.----....-----'-.'. -..-.--"'..........-.-.......,----,..--..----------....'...
_.__....~".,__....", ......___._... ...___,.. ....~__~_.,......6~.,._._____.."..-'ftl.
.....-----......-,...---
---.--..-.--...-.----...--"'-.----.......----....'.--.....
'TIle vaJueoffbis 'Work is $".dc;t)..'..~-_.."-..,'
I hereby voofy this w()rk wHl be pernmned. by an employee of this company arnd further verifY tbe
1:oo0n1l1e:ction / in5ltaUatuoD wi.U be done nn compliance with! mama.factJ.uex' ood Electric code
If.'equ,nirat~Tler.nts.
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(S1g1lature of Compmy O(ifk.e:.J")
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(lP'rin1: Namte of Offi~l;a")
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