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HomeMy WebLinkAbout0144121-HVAC (furnace) 0 CITY OF OSHKOSH No 144121 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1028 S SAWYER ST Owner ROBERT W MANNING Create Date 11/17/2010 Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas I Oil U Electric U Solar U Solid System ❑ New I 12I Replace ❑ Other Lij Forced Air I_J Radiant u Steam u NC ❑ Vent ❑ Electric 1 Li Hot Water Suppl. Con. Burner Chimney Type 0 Chimney A 0 Chimney B • Direct Vent O Not Applicable Heat Loss J As Approved 0 Existing • Not Applicable Value BTU Rate () As Per Plan O Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Ace Electrical Services. '"debit acct of Work Fees: Valuation $3,747.00 Plan Approval $0.00 Permit Fee Paid $67.00 Issued By: 1 Date 11/17/2010 ❑ Permit Voided I Parcel Id # 1308050100 In the performance of this work, 1 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 of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 ����0�� Fax (920) 236 -5084 ON THE WATER HVAC PERMIT APPLICATION All information after bold categories trust 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. Commencing work without permits) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. • OR I ou are a contr' ctor ar ici • ati 2 in the Permit ee ' ccoun S st and have a y e. a to u ds check here if you want this processed throuzh your account 11 DATE /I- 1 3 - 10 JOB ADDRESS /Q S S SQ Wt./ OWNER ebb - e rt ma ne in IF RECEIVE® CONTRACTORJM rte nS 1-ka n l ca I NOV 1 7 2010 CHECK Pi ALL APPLICABLE DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION US CATEGORY .jingle Family ❑Duplex ©Multi - Fancily Mental ❑Commercial [Industrial FUEL Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace °Oil ❑Solar ❑Other TYP orced Air °Radiant OSteam °A/C DVent °Electric ❑Hot Water DSuppLOCon. Burner IS CHIMNEY BEING LINEDo DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A DChimney B erect Vent °Other HEAT LOSS DAs Approved ❑Existing °Not Applicable BTU RATE DAs Per Plan °Variable ❑Other Value DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ 3 7 Li 7, o o ELECTRICAL CONTRACTOR OR , Electric installation Verification forth attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractor. 2 7, 0 0 3/02 City of Oshkosh Div ision of InsPe 215 Clench tton Services Avenue PO Box 1130 ------.-- Oshkosh WI 54902 -1130 Fax 2 - 2350 Electric Installation Verification M(We) a✓\i-ens Itt ' Pt q 41 - PI ;C°N l (Electrical Ca.. tor Name) • �.CZMIC Ser-/'iCcr L.C.G. P. 6.. i III (Address) �� • �p (City) (State) (Zip Code) have been contracted to perform electric installation work for (Name of party contracted to) I at the following address: 0 02 • S 5 • (Address w 1, - work will be performed) The nature of the work consist of : (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Reconnecti or new circuit far r Plate and/or A/C Condenser. replacement Electric Water Heater. Recomiectn of the Service Entrance Cable Meter Box lighting fixtures due to siding / soffit installation. alterations to receptacles and Cables will require e installation. Note: New Service Entrance - squire a separate permit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $O2° I hereby verify this work will be reconnection / installation performed by an employee of this company and further verify requirements. will be done in compliauce with manufac#urer and Electric code the ...—, „1./ (Signature of • . !many - /C ii'/ Z j `tr s (Print Nam of Officer) (Date)