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HomeMy WebLinkAbout0144352-HVAC (furnace) 0 CITY OF OSHKOSH No 144352 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 621 SCOTT AVE Owner KEMPS PROPERTIES LLC Create Date 12/10/2010 Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas U Oil 7 Electric —1 u Solar U Solid System [] New 1 Q Replace 1 n Other Li] Forced Air ❑ Radiant ❑ Steam _J NC J Vent ❑ Electric ❑ Hot Water 1 Suppl. U Con. Burner Chimney Type () Chimney A () Chimney B • Direct Vent O Not Applicable Heat Loss ` ) As Approved 0 Existing • Not Applicable Value BTU Rate ❑ As Per Plan O Variable 0 Other Value Use /Nature Duplex / Replace furnace (serves both units). EIV signed by Ace Electrical Services. of Work Fees: Valuation $2,452.00 Plan Approval $0.00 Permit Fee Paid $47.50 Issued By: Date 12/13/2010 ❑ Permit Voided Parcel Id # 0502320000 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 of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236-5050 ^ r� l� JU Fax (920) ) 236 -56 -5084 4 �V�_f_I ON THE WA ER HVAC PERMIT APPLICATI I 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR 1 ou are a cont actor ' art'ci' atin : in the ' er it ee Acc' unt S em and have ad' u to u ds ch - ck here if you want this processed through your account n l DATE /'/ ���D JOB ADDRESS 619 - a 1 sc © - tf RECEIVED OWNER fi nA re iv Ke m ps , CONTRACTOR 1 ar ten S l P.a I ni DEC 10 2010 CHECK H DEPARTMENT OF ALL APPLICABLE COMMUNITY DEVELOPMENT USE CATEGORY INSPECTION SERVICES DI VISION ❑ Single Family Duplex ❑Multi- Family Rental DComrnercial OIndustrial FUEL iGas DElectric ❑Solid SYSTEM ❑New ►' eplace ❑Oil ❑Solar ❑Other E orced Air ❑Radiant ❑Steam DA/C :Went DElectric ❑Hot Water DSuppl.DCon. Burner IS CHIMNEY BEING LINED S 'No C3Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. • CHIMNEY TYPE ❑Chimney A ❑Chimney B t = 'Direct Vent ['Other HEAT LOSS DAs Approved DExisting :Not Applicable BTU RATE DAs Per Plan OVariable ❑Other Value DESCRIPTION OF ALL WORK BEING DONE iii VALUE (Including labor and all materials including light fixtures) $ 4 6 12' 0 0 X17 ELECTRICAL CONTRACTOR OR &Electric Installation Verification form attached(lf Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors 3/02 City of Oshkosh Division of Inspection Services 215 Chinch Avenue PO Sox 1130 (� f—�_ Oshkosh WI 5 4902-1130 p i I Office 920.236.3050 Fax 920 - 235 -50g. Electric Installation Verification (I) fie) 41-& S i 1 �i' , n q 6 - C°,. / (Electrical C • tor Name) - Gt2r�rciq�., Sc?r-/'ite Li C. io pia, 5) Q (Address) r • �� (City) (State) (Zip Code) have been contracted to perform electric installation work for % 14 (Name of party coated to) at the following address: 0 - - a (Address where work will be performed) The nature of the work consists of : (Check One or Describe the Nature of Work) ____ _./teconnection or new circuit for replacement fi ' Reconnection or new circuit for r eatrng Plant and/or A/C Condenser. Ration of the Service eP�etnent Eleopric Water Heater. Entrance Cable, Meter Box, akerations lighting fixtures due to siding / soffit ' to receptacles and require a separate installation. New Service Entrance Cables will r eq epat'ate permit. Reconnection o new circuit for other permanently wired Other appliances / fixtures. The value of this work is $_____!� I hereby verify this work will be connection /instal performed by an employee of this installation will be done in compliance with of com manufacturer pany and Electric c verify the requirements. code . .__v ',If- , (Signature of • • mA Y Ofl*ic /Ch'sAZ r r s 1 d /b (Print Name of Officer) (Date)