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HomeMy WebLinkAbout0131880-HVAC (furnace & a/c)CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1358 RAHR AVE Contractor MARTENS HEATING & COOLING Fuel / Gas Oil System ^ New ~ / Forced Air Radiant Electric Hot Water Chimney Type Chimney A Chimney B Heat Loss BTU Rate Use/Nature ' of Work Fees: Valuation $6,139.00 Plan Approval ~ $0.00 Permit Fee Paid Issued By: ~I ^ PermitlVoided II $103.00 _ Date 07/28/2008 Parcel Id # 0206700000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature I Date Agent/Owner Value Value Address PO BOX 514 OMRO j WI 54963 -514 Telephone Number 920-685-0111 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not pertormed within two business days from the time the project is ready. No 131880 Owner', STEVEN/MARY E YOBLONSKI Create Date 07/28/2008 Category 500 -Residential-Heating & Ventilating Plan I, (/ Electric Solar Solid ^/ ', Replace ~ ^ Other i Steam / A/C Vent Suppl. Con. Burner Direct Vent Not Applicable City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone(920)236-SOSO Fax (420) 236-5084 I--~~~~H ON THE WATER HW;AC P~F~#4~111T APPLIC~T#t~#~ All information. after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and £ee(s) can be brought to Citiy Hall, Room 205 or mailed to Inspection Services, PO Box l l2$, Oshkosh WI 54903-1128. Commencing wax without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR DATE ~ - ! 7 'O d .roB ADDRESS ~~ r f~to~ ~~~ CHECK 671 ALL APPLICABLE USE CATEGORY ~ OSingle Family DDuplex DMu1tiTFamily DRental ^Comm~rcial ^Tndu.strial FUELP~Gas ^Electric ClSolid SYSTEM DNew DReplace DOiI DSolar DOther TYPE ~ E~P'orced Air C1Radiant DSteam DA/C C7Vent DElectric D Hot Water LlSuppl.DCon. Burner IS CHIMNEY BEING LINED :DNo C'3Yes - LINER STZE & MANUFACTURER Note: All chimneys shall be sued per the BTU's being vented. CHIMNEY TYPE DChimney A ', D Chimney B [l~rect Vent DOther HEAT LOSS DAs Approved ' DExisting DNot Applicable BTU RATE DAs Per Plan I DVariable ^Other Value ___ _ _ DESCRIPTION OF ALL WORK BEING ~I i O ~` O VALUE (Including labor axt~ al# materials wnclud•~ng light fixtures) x ~ /~ ~' d~ ` v~' i ELECTRICAL CONTRACTOR. ~ Og ~Eleetrlc Installatlan Veri}3catlon #'arim attached(lf Replacemenc) ~ Electrical installation of new/replacement equipment shall be ~!©ne by licensed contractor 3/02 City of Oshkosh Division of 1nvpectinn Services 215 Church Avenue FOI3ox 1130 Oshkosh Wi 54903-1130 1 1 / ~---~ Office 920-236-sOSO ~~oni THE W'AT.R Fax 920-236-5081 , (we) the homeowner(s) of Electric Ix ~b lon~~ ', (print / 3 ~ g ~', allation V~eri~cation s) zaaznel _- -- ~ (address where work is to be performed) accept the .responsibility .for pez-forrtzing 1:hc electrical work as stated below for the property listed above, Tlae nature of the work consists of (Check One or I7~escribe the Nature of Work) y R.eeonnection or zzew circuits :Cor replacement Heating Plant and/or A/C Condenser. _ Reconnection or new circzzit: for replacement Electric Water Heater or power vented water heater. Reconnectiona of tlae Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will requiz°e a separate permit. Recorzzaection or new circuit: for the .replacement of other permanently wired appliances /fixtures. _ New circuit for floe additioza'~of A/C to aaa individual dwelling unit, including required service electrical. outlets. ,Note: Homeowners can only do their own. electrr'c on a single faraaily ottiner occupied Dome, Work on a condominium. duplex., rental, or multi-ua~chuildr.'ng would require a licensed master electrician. Other ~ The value of this work is $ !J (`'. 00 'I I hereby verify this work will be per:fomaed by me and further vez-~ify the reconnection / installation will be done in compliance with manufactza.rer and Electric code requ.ireznents. s) Sigzaature (Date) _ sio2