HomeMy WebLinkAbout0131489-HVAC (furnace)CITY OF OSHKOSH No 131489
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 616 W 10TH AVE Owner JOHN W OLAUGHLIN Create Date 07/14/2008
Contractor MARTENS HEATING & COOLING Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other
/ Forced Air Radiant ~ Steam A/C i Vent
~~
Electric Hot Water ~ ~uppl. Con. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable.
Heat Loss As Approved Existing Not Applicable ~ Value
BTU Rate As Per Plan Variable Other ~ Value
Use/Nature
of Work
5FR !Replace furnace.
Fees: Valuation $2,340.00 Plan Approval $0.00 Permit Fee Paid
$46.00
Issued By: C~~
^ Permit Voided
Date 07/14/2008
Parcel Id # 1303430000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 514 OMRO WI 54963 - 514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
07!11/2008 15:16 9206850490 MARTENS HEATING PAGE 01
City o~ Oshkosh
pivision of lnepecnioo. Services
1'.O. sox ] 1.34
Osl~lcash, W154S03-1 l30
Phone (920) 236-5050 ~ _
Fax (920) 23fr5084 ~~~~
HV~-C ~~RI~T ~PPLIG,Ak~~~l
All in;fozna$tion a~ bold categazies must be provided.
1.ncoroplere applicntiona will not be processed.
• Appliaatirna(s) and i:'ee(s) can be brau~;ht to City Hall, Ronrn 205 or mailed to Inspection Services,l~'O Box l 128,
Oslilcosh W)< 54903-1128. Commencing wank v~-ithout lacrunit(s) will rec~ult iz~ fees being doubled ar $100.00 plus tlae
narzna] per~aoxt fee, which ever is ,grcater.
IDR
CHEC~i B! ALL APPLICABLE
JOB A,UFD~tES~R ~~~ ~ ~ ~~,~~
DATE-1~L1 +~ b
owNER oh~~c~~ _~ ~ .
coNTRACTaR r~P~2 s ~r~. ~cn~i n
U CATEGORY
Single Family
FUEL
~]Oi1
^Auplex []Multi-Fautily
^Electric ^Solid
^5olar
^Reptal
~XSTEl1!1
OCcrix).ci$l L7lnduatriali
^N~v ^Repla,ce
Ot~ther
E
~orcedA.ir QRadiant ^Steam ^AJC ^uent ^$Iectric ^Hot~7atex~CaSttplSi.C]Con. Burner
IS C~MIYEY ~I:NG LINEDo f.~Xcc - ,L4NNEER S~ ~ MANUFACT[TRER
Note; All chiacmeys shall be sized per ~.ue J3'1''[7's being vented.
CHT1wlVEX TXI.'E CICl7itoney A ^Cl~.irnney B f Direct vent ^Otlter
BEAT IaOSB L1A,s Apparoved ClExisrmg Not Appl.xcable
B'1,'LT RATE ^As Pear Plan ^Varialale ^Other Value
DESCR~TTON OF AL~. W[~Rt+~ BEItrTG IDONE..,
~ -
V,~.U~ (Ync~adbng 1a~or apd ql~ nnaterials ~ncludinp~ 1•ixht fixture!c) D ~ 0O r„ ~,J v
~!J
ELECT)~I'CAL COI~i'I'RA.CTOIEt d Iect1'Ic ini+bt~attion Vertlic~an form AttacAca~f Replecemem)
Electri inslellalion ofnew/aeplacr~nerr~ aq~y9maat shall hr done !ry liCe!1~~ed ronlrncfo~
3/Oz
07/11/2008 15:16
nN TF~r wni¢
9206850490
City of Onltko?It
Divialon oilnx(x~~iun 5ewic~:~
215 Chtrtt:h Rvenne
P()13cta 1 l ip
Oghlct,Ph Wi S~9?p?-i 11n
flffiee ?24Z345(15t1
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MARTENS HEATING
~~~ctlrwc ~an.stal~attioa. V'~rifcatiala
z (wE)
(print tlon~eowner(s)
PAGE 02
the bomoowr~er(s) of .~~ ,l~'_-•----~-~~.../G
(aclr~ress wh.Erc worlc is to be performed)
accept the respox~~ibility £or perforttti.r~g flee eicctrica.l work as stated >~elow far the property listed
above.
T.he zltit~arejof tl~c work. con,si.sts of: Check C1n.e or :taescxi,bc the Nature of WoC~)
V ,Reconx~eetioxi or.new circ~iit .£or rcplaccruent Heatir~ P~atit ax~~d/or ,~1JC Cottdex>,se~r.
Reco»anection or ~neur circuit foe- r.Eplaceme~~t Electric WatEr Heater or power. vented
water heater.
Reconnection of flee $ervicc >r»trance Cable, Metex $o~, alterations to receptacles
and li;ghti~ng ~xxtures due to sidixtg / sof..fxt installation. Note: New Service
Etttxtartce ~':ab).es will require a separate permit.
Reconnection oz new circuit for the replacetxuent of other. pezxnlanently wired.
applia»,ctrs / hxtures.
Now circuit for the addition of ~1,1C to an individiurl. dwelling ~~nit~, including
required service electli,cal outlets. ,Nnte:.,rlomeo~l.vt2ers can only do their own
electric on a si~~gle.fixrnil~: olA~rt~r occacnr.'Ed hoih-z~. T~ork on a ror~dornir~iurn,
dupl,~,x-, re>7tal, or trzt~Ztz~ure ~~r~rldi~xg wo~.~lnl regt~zre a licerzscd mos~ter
electr7ci~~2.
Other ',
The vA]u.e o£this work is ~_Q~~
1 hereby verify this woxk will be perfornned by rn~e a~ad further verify the t-eco»,uection
install,atio~~ will be done in compli.arace with n~.anu,fa.cturer and. Electric cede requirezm~nts,
Homeowaer(s) Signature
(Date)
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