HomeMy WebLinkAbout0127988-HVAC (space heater)
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OSHKOSH
ON THE WATER
Job Address 1031 WAUGOO AVE
CITY OF OSHKOSH
No
127988
HV AC PERMIT - APPLICATION AND RECORD
Owner DENNIS P PANICH TRUST
Create Date 11/29/2007
______,_~__________._______._____ ___________._.___u__
Contractor MAR"I~~~J::IEA TING & COOLlN~__~ Category ?02_-BE3~id_~r1tl<lH::I~<l~il1g.&V5!n-t!!ating_
Fuel [~[~as-I 0_ Oil_====J DJ~J~CIri~-==:-j O=~~~_r-:_=::=J
System O_tJ_ew ______J [~L~ep-'-a_c~~__________J
0}orcedArr--1 O~~===] D_.ste~~,-_::_=] DNC-==:=~J
U_E~~~_.-J 0 Hot Water __J U_ Suppl.___==:J UJ::~.:..-~urne.Q
Chimney Type ITChimne~_.___O~ir11.!!E3.~-___-:=. Direct Vent=::'=::::Ol'!9l.J\.PE~able .-=:J
Heat Loss ~-APPrOVE;d---=--- C) Existing --:_::'===-Jl:E<?I~P2Iic~~=-_===:1 Value
BTU Rateo..As Per Plan 0 Variable __=-__I O!J1_~::'===::J Value
Plan
D~5)li~=:::
Other
OVent --~_=:]
Use/Nature iYuplex (upper unit) / Replace space heater. Unit plugs into a-waIl-o-Utlet.**Qwnerlisted asRobTn-JOhnson~-----------.-------- - -
of Work
..J
Issued By:
$2,080.00
(2/??'1/O
Plan Approval
$0.00
Permit Fee Paid __________Ji.i1.50
Date 11/29/2007
Fees: Valuation
D__~~rmit Void~~J
Parcelld # 0205280000
h, 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 - 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.
~ 11/27/2007 18:05
::: City of Oshkosh
Pivision ofl:nspecdon Se:rvice:!l
P.O. Box 1130
Oshkosh, WI 54903-1130
Phooe (~20) 2:;6-5050
Fax (920) 236-5084
9205850490
MARTENS HEATING
PAGE 01
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OJI:JROJr.1
ON THt w....:rl!'ll
HVAC p'ERNnT APPLICATION
All infol'ma;nou after bold categories must be p)'O~d.
Jxll~om:plete applications will not be processed.
. Application(s) and fee(s) can be brought to City Halt, Room 205 (,If mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without. pennit(s) will ~sult in fees being doubled or $100.00 plus the
normal permit fee, which ever is grea,ter.
OR
li.J!!2JL{U~.~on!r;J!f..LQLJJ.f!J:Jic;)B.g1.il1.e in th,e E.!lr~s.s.Ql/.n1. SJ!~tem--f!7J..ila"e ati-'Ullf.J!u_fM~eck here
iiylllJ wt.mt this...J!lO'-J1M.1lii..1,hrOufi!/t "ol..!La~cg,.~
DATE-JL-~7-0Z
.TOBADDRESS-L{) 3/ 4!.a.MT ~
oWNER "eO h ~n - I o.~..tUJ-
COrmtACTOB...f:ia:t ~ /1 5 Jka f lOll '7'- e oo/;nj. .
. ~!,s - CJ III
CHECK 6?I ALL A.PPLICABI.JE ~.~
USE CATEGORY
o Single FamHy ~uplex OMulti~Fan::li1y
ORental
OO>.tnm:erciaJ
o Indnstrial
FUEL
~as
DOll
OElectric DSolia
o Solar
SYSTEM
ONew OReplace
[JQt);\et ...-_
tyPE
,tEForced Ai.r ORadiant DSteat1l DAle DVent DElectric OBot Wa,tt:::r DSupp1.0Con, Burner
IS CBIMNEY BEING LINE~o DYes ' ~ LiNER SIZE & MAN1.JF ACTITRER
Note; All chinmoys shall be sized per the B11J's hel.ng vented. .
cB.IM::NEY TYPE DChjmoey A OQ\hnney B ~t'ect Vent DOther
lIEA T LOSS OAs A:'(lPlOved. OExisting ONot Applicable
BTUltATE DAsPerPlan OVariable OOtherValue
DESCIUPTJONOF AlL WORKBlUNGDONE ~ ~ ~:;/lA.
.J)J14i :fJR.wf ).~ri> a ~i:uo 11 o:u.t l.d:::- . - -
v ALtTE (f.nd1.ldi.ng laboJ"' 'llnd _l'l ,:n,llteriAls indudl,ng light fixhtl"e.g) L-J_D '6 O. ()() --
ELECTRlCAI.. CONTRACTOR____
,~_ OR 0 EJtJ~trlc 11!l$tSII.lltlon VerfflCBdon form l\ttadu~c1(lrR.epll1ccmcnl)
Elac;n'cnl iIIstfl11al.i<m ofl'll!wlrepr.acmncPll squipme/11 ~htl/l /;!c t;f.Q1IC by liCellttW C()rl,,.,,t:/.,,r-l
/,-[(.50
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