HomeMy WebLinkAbout0128139-HVAC (furnace; chimney liner)
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OSHKOSH
ON THE WATER
Job Address 749 BOWEN ST
CITY OF OSHKOSH
No
128139
HVAC PERMIT -APPLICATION AND RECORD
Owner LOUIS G GARNO
Create Date 12/12/2007
Contractor MARTENS HEATING & COOLING
Fuel l!J Gas UOil
System o New
l!:J Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss [) As Approved . Existing
BTU Rate () As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent C) Not Applicable
C) Not Applicable
() Other
Value
Value
Use/Nature SFR / Replace furnace. Install 3" chimney liner. EIV provide by D Kal Electric. **DEBIT ACCT**,
of Work
Fees: Valuation
$5,426.00
~A1
Plan Approval
$0.00
Permit Fee Paid
$92.50
Issued By:
Date 12/12/2007
o Permit Voided I
Parcelld # 1107150000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 514
OMRO
WI 54963 -514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:-: 12/12/2007 08:55
i
9205850490
MARTENS HEATING
PAGE 01
City of Oshkosb
Oivision of IOflpection Servj,ce~
P.o. Box 1130
Oshkosb, VVI54903~1130
Pbo~ (920) 2J6~5050
Fax (920) 236-5084
~
0J}JKOJtJ
DN TH~ wAT!'R
HVAC PERIMIT APPLI!CATIO'N
All informa.tlO>J:l after bold categories II'JI,lSt be provided.
IJlco~lete appHcations will not be processed.
. Application(s) .and fli:.e(s) can be brought to City Hall, Room, 205 ounaUed 1:0 Inspection, Services, PO Box 1128,
O$bkosh WI S4903~ 1128. Commencing work wi.thout per.mit(s) will T!sult in fees being dou.bled or $100.00 plus the
llQrmal permit fee, which ever is greater.
OR
'/.f...YJJ;M are a cQ.ll11:J!.9.MLtJ)C'f'tidn4.ti11f! iUJl1.1LE.f:.'!7}'dt fee dcc()!ml.$.J!%Yll1J..JUJJ!.JLave adellJI./}J1!. fUl1ds. cb.~llif..
iLJlolJ '1'l'.l!J1..L.lhiLlll:.QQMHd~r accQ.Y~
DATE I~ /~ 02
JOBADDRESS,_2_r9_t3.puJ~~, 51- ___
OWNER /Jc", t'1 ~,~.~9:J- "1. ~______
CONTRACTOR (f} ou--, 1-et.-t ~ HY...S::..f. ""'L'1 (/' (.,<::ll~ "''''t \
~J?S~ () /1/
L'HECl< !if ALL A'PLICABI..IE
USE CATEGORY
.JllSingle Family ODuplex OMl1lti~Family
o Rental
DCommercia.I
DTnd.~tria.1
FUEL,
.JQGas
DOn
DElcctric DSoHd
o Solar
sYSTEM
DNew
OOther
~Replace
TIiP!
JIForced Ait' ORadiant OSteam PAle DVeot OElectric DHot Water OSuppl.DCon. Burner
IS cuiMNEv BEJNG IJNED J:1No ~es - LINER SIZE3-" & MANUFACTtlRBR fle,>r "-- b..~..-
Note: All cbjnmeys shall be size,1 per the BTl1's be~,ng v~nted.
cHIMNEY TYPE DChhnney A OChilnt'Lcy B ~ect Vent 001:her
BEAT I..OSS OAs Approved PilE,dsting ONot: Applicable
8TU RATE OAs Per Plan ~ariab1e OOther Value_
DESCRIl'TION OF AlL WORK BEING DONE~\2..e ~l ~f:.~ r.:; v .f'--"\..~,L-e.
v ALtrE (Including labBr 'ant'! an mAterials includllllg light fixbl~S) $ S_'L..:t. '" . 6V"
ELECTRICAL CONTRACTOR~ ~ ( "... QB. ~1 E_l~rlc I~:,~I'~t~on VcrMcMl(lD form art.ll.ched(TfReplaccmenl)
EJ(JCll7.r.n11119ri7.11(ltloPltff,,~wlrep-ll1CB1P1/3nl E:91Jipment .~hllll bli! dQ'JI? '-!1' ti.t:en,~ed COf11rtlr.r"ri
~p~, 50
3/02
12/12/2007 08:55
9206850490
MARTENS HEATING
PAGE 02
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Electric lftstaIlatio.. V'eriftcatien
(I) ('Ne) ...._id__.!. k a I . EJ. e c.. t r- ~ ~.~___.,~_,_.
(Elec'l.rica.U CO:KiJtm.ctor Name)
_'1'1Q~__R~,?~-f~t .:.{_A~~______Q.~~~:..p
(Address) ~(City) (State)
~~~Y9(Y
(Zip Code)
harve been Ic;on:mwted to perfrnm dectru{; irn,~itt'!l.l.lat1iQ~:a work far _1\l~....f1..~._ ~G t:t <<"l:::U~::;>_~_,.
. (Nmne of p$'ty contracted to)
at the f.Q~,no'llVi.ng .address: ____1.-'1 'l_...__._.._./3_......Q_l&.)J3.,~..S L.___._.~__._.
. (Address where work will be :perfonned)
The: natuu"e of the work: IC01\lsUilS of: (Cllock One Olr Desc:r.i,he rile Natnre of Work)
~eCO!1J~:iOO' or 1IlC>1V dll"cu:it foT. replace100lellt H~91ting Plant and/or Ale Condense:l:".
.ReconnecfCi.on Of,lI1lew d1icuit: for replacenlcnt E~rotrrk: Water Heater.
R~~'ecti.on of the Service Entrance Cable" Meter Box, aherations to receptacles and
lighting fixm:res due 1;~) siding / soffit illlst.a]lstioo. Nt01:e: New Service Entrance
Cables mU 1l'Cq/uire a. separate pemut .
.__~M_ Reccnne':tiOll"A or new circuit for otber per.manentlly wired appJimees / :fnxhU'<r;s.
Other
,_,__........._.,___..-.J_"...~__"'......._'__...,..."..__.'_.'...,_._______~..._. .___.--.1..-1.-
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CJJ.1-~
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fS;.gTh'1.ture of COmp31tlly Offic:e.r)
__l1,I\~J_ t. I(~ t/~5 ____._
(print N.aine d,)f Officer)
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