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Home My WebLink About0144119-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 144119 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1527 W BENT AVE Owner SCOTT J BRIGGS Create Date 11/17/2010 Contractor MARTENS HEATING & COOLING Category 502 - Residential -Both Plan Fuel U Gas ] Oil U Electric Li Solar 1 1 1 Solid System n New 1 n Replace 1 n Other I U Forced Air u Radiant Steam 4 NC ❑ Vent Li Electric U Hot Water U Suppl. U Con. Burner Chimney Type J Chimney A O Chimney B 0 Direct Vent • Not Applicable Heat Loss ❑ As Approved ❑ Existing • Not Applicable Value BTU Rate 0 As Per Plan () Variable • Other Value Use /Nature SFR / Replace furnace and a/c. EIV signed by Ace Electrical Services. *"debit acct of Work Fees: Valuation $6,286.00 Plan Approval $0.00 Permit Fee Paid $104.50 Issued By: 0( Date 11/17/2010 ❑ Permit Voided Parcel Id # 1201050000 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. City ion Oshkosh Inspection Division of Inpection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone(920)236 -5050 Fax (920) 236 -5084 01 � H ON THE WATER HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Comrnencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account n DATE // _ 13 — 1 D JOB ADDRESS /5.17 W. &ftt /4.- 1/ RECEIVED OWNER Se ft 13r ►99 5 ,+ , _ CONTRACTOR f a11 ti-2q.��' 't eonunica I NOV 17 2010 J DEPARTMENT OF CHECK H ALL APPLICABLE COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION usy, P'Single Family ODuplex ❑Multi- Family ORental DComtnercial ❑industrial FUEL DElectric ❑Solid SYSTEM ONew QI‘lace ❑Oil ❑Solar DOther M ced Air DRadiant OSteam DA/C DVent DElectric ❑Hot Water DSuppl.DCon. Burner IS CHIMNEY BEING LINED( io DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A ❑Chimney B ODirect Vent ClOther HEAT LOSS DAs Approved OExisting ONot Applicable BTU RATE DAs Per Plan OVariable ❑Other Value DESCRIPTION OF ALL WORK BEING DONE VALUE ( Including labor and all materials including light fixtures) $ (D 86,00 ELECTRICAL CONTRACTOR OR )(Electric Installation Verification form attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors /d`/, So 3/02 City of Oshkosh Division of Inspection Services 215 Climb Avenue PO Box 1130 Oshkosh WI 54902.1130 o TMr (;12111290-2(- 236. 3050 236 50 Electric Installation Verification (I) (We) Q ri-fn --s Si' ' al - C 4.1 I Na (Electrical Co a tor' ive al C °N / 4 LC2M lCt9 -L �D ` ) Sc 'icer ue- (Address) , L • to (City) (State) (Zip Code) have been contracted to perform electric installation work for 5 d t " or / ` S (Name of party contrac to) at the following address: is rte. • (Address where work will be pi The nature of the work / consists of : (Check One or Describe the Nature of Work) y Reconnection or new circuit for Ron or new replacement Heating Plant and/or A/C Condenser. circuit for replacement Electric Water Heater ec�ection of the Service Entrance Cable, Meter Box, aft lighting due to sidin / � to receptacles and Cables will require a s soffit illation. Note: New Service Entrance Reconnection or new circuit for off. permanently wired appliances /fixtures. The value of this work is $ oa I hereby verify reconnection y ds work will be performed by an employee of this installation will be done in complian with Pay and further code verify the requiremen manufacturer and Electric code ..,.._, .../- - .-c' it (Signature of • . n2py Officer) /Ch's (Print Name of Officer) ( D /3 - /� ( Date)