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HomeMy WebLinkAbout0145690-HVAC (furnace) I CITY OF OSHKOSH No 145690 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 317 E MELVIN AVE Owner RAYMOND /MARY RUETTEN Create Date 05/03/2011 Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Inspector Fuel Li!J Gas I Oil U Electric Li Solar Li Solid System [] New 1 12I Replace n Other u Forced Air u Radiant u Steam u A/C u Vent Electric Lf Hot Water Li Suppl. U Con. Burner Chimney Type p Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Ace Electrical Services. *"debit acct of Work Fees: Valuation nn $1,500.00 Plan Approval $0.00 Permit Fee Paid $32.50 Issued By: ��//i,Yf(,g Date 05/03/2011 ❑ Permit Voided I Parcel Id # 1002780000 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. 05/02/2011 17:03 9206850490 MARTENS HEATING PAGE 03/04 • City v o Oshkosh Division of Ion of Inspection S - .ces P.O. Box 1130 C Oshkosh, WI 54903 - 113 Phone (920) 236 -5050 r �f Fax (920) 236 -5084 0, 0 l l ON Tile WATER HVAC PERMIT APPLICATION All information after bold categories roust be provided_ • Incomplete applications will not be processed. • Application(s) an' fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl 5491 -1128. Commencing work without permit(s) will result in fees being loublcd or 5100.00 plus the normal permit fee which ever is greater. OR If ! are a co, 1 a or • artici • ! •f _ in the • , mi e _ ! tint S 1 - is • 1 ! . !v e ad t • uate n / s i - h • re if you want this pr essed through your accou t °' DATE ` 5aa- I 1 JOB ADDRESS £. V t - ... 1 . •A • ► _ , 5y qo 1 OWNER RA l CONTRACTOR r4eJ)s i n 5 • CHECK RI ALL AP LICABLE USE CATEGORY siutlgle Famnily • Duplex DMulti Family ORental DCo ial °Industrial FUEL 'Gas °Electric OSolid SYSTEM ON= , k]Replace Oil ❑Solar ❑Other TYPE OForced Air ORadi. i t ❑Steam DA/C °Vent °Electric DHot Water DSuppl_OCon. Burr IS CHIMNEY BUN LINEPNo ©Yes - LINER SIZE & MANUFACTLJJFR Note: All chimneys . = be sized BTU's beibg•vented. • CHIMNEY TYPE ❑Chimney A OChimney B °Direct Vent °Other HEAT LOSS DAs Approved ❑Existing DNot Applicable BTU RATE OAS Per Plan ❑Variable °Odic' Value DESCRIPTION OF WORK BEING DONE -c i Q De.. RI Y'Yl(Q& et VALUE (Including la . r and el materials including light fixtures) VO "Pee (i Sa SO ELECTRICAL CO . CTOR OR ❑ Electric Installation verification `orm attached(lf RepIaccm t t) Electrical installation of neydreplacentent eqtartent shall be done by licensed contractors I I Received Time May. 2. 2011 5:18PM No. 5473 3/02 05/02/2011 17:03 9206850490 MARTENS HEATING PAGE 04/04 ofOe*koth orinapeedon Services 15 C3rmeh Avenue • Box 1130 fC W15002-1)30 r I 1 92 0436 • 920-236-9084 Electric Installaiden Verification (Z) (we ) a "nom •. q � �. / (El'ectzjcaj Co'o'..., �. Name) C / 'o lip, 5-) 11 4 54'.(03 (Mdse (City) (S e) d ) have been co (gyp Code) c - • to perform electric installation work for (Name of party contra• ted to) at the following ad. ;; .. 3 /°7 (Address where work will be performed) The nature of the wo consi4ts of : (Check One or DescnbE the Nacre of Work) � new circuit for replacement Heat* Pla:at ere or A C Condenser. R • • 4.4 on or T ' circuit for replacement t Electric user Heater of the Service Entrance ��g fixtures due to Cable, Mew Box, alterations 0 1eles and _ . tin will siding / so£$t installation. Note: New Service Entrance regture a separate permit, nnection or new circuit for otherp • 3''� appliances ,fixtures_ The value of this w. i s 5 . 00 1 hereby verify this rk will be reconnection / ' perforrned by an employee of this company further v instal = ; G aace w on will be done in erlfy the requirements. ith ma3tufactyget. and Electric code (Signature of . y Officer) (Print Name of Officer) at Received Time May. 2. 2011 5:18PM No. 5473