HomeMy WebLinkAbout2011-HVAC (furnace) 0 CITY OF OSHKOSH No 145689
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1548 PLUMMER ST Owner ARTHUR G /JOYCE NEWELL Create Date 05/03/2011
Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Inspector
Fuel U Gas LJ Oil LJ Electric LJ Solar LJ Solid
System n New 0 Replace ❑ Other
J Forced Air J Radiant LJ Steam L NC LJ Vent
LJ Electric Hot Water _ Suppl. LJ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate p As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Ace Electrical Services. **debit acct
of Work
Fees: Valuation $1,700.00 Plan Approval $0.00 Permit Fee Paid $35.50
Issued By: Date 05/03/2011
❑ Permit Voided I Parcel Id # 1304460000
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 01/04
City of Oshkosh
Division of Inspection - ices
P.O. Box 1130
Oshkosh WI 54903 -1131
Phone (920) 2.36 -5050
Fax (920) 236 -5084 0/1-11(0f—
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must 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 WI 549 - 1128. Commencing work without permit(s) will result in fees being'loubled or S100.00 plus the
normal permit fee which ever is greater.
OR
1 o are a c 4 n t ac or r , rtici' ati ' . the ermi - = ccoun tem a d i • ve a - e • • • and check h
if you want this pro essed through your account _ ,'.1
DATE - ' O
JOB ADDRESS 15 $ pi/1'71M car . S-1- O5h46sh 5y64:
oWNER_JOL(f - N -e (1 _
CONTRACTOR a r-}--c r1 Heat! n
9
CHECK El ALL AP CABLE
USE CATEGORY
Single Family • Duplex ❑Multi- Family °Rental ❑Commercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM CINew 4 hReplacc
❑oil IOSolar ❑Other
TYPE
°Forced Air ORadi , t °Steam ClA/C [Went ClElectric DHot Water ❑Supp1. ❑Con. Burr or I l
IS c NI EY BE11 D SIZE 3 ' & MANUFACFU ER F rl e�`-b " 1 i ne r
Note: Al chimneys s .: be sized per the BS's being vented. •
CHIMNEY TYPE DChin ney A °Chimney B ithrect Vent °Other
HEAT LOSS CIAs Approved °Existing ClRiot Applicable
BTU RATE DAs Per Plan OVtuiablc DOthcr Value
DESCRIPTION OF • WORK BEING DONE Pe plQ(rc -Pu rane . -_ _.
VALUE (Including la or and all materials including light fixtures) $ ( 00 -P-cc � 4 37 .°`)
ELECTRICAL CO ' • CTOR OR ❑ Electric installation Verification Norm attacbed(lf Replacement)
Electrical installation of ncwIreplacoment equip rient shall be done by licensed contractors
Received Time May. 2. 2011 5:18PM No, 5473 3/02
05/02/2011 17:03 9206850490 MARTENS HEATING PAGE 02/04
cl.tY oro:ntose
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F -�C('1 rL .i '0 9vx 1130
� , • �• -�v �! i )e�Q920 X30
on w4T— x 920.E
Electric Installation Verification
(') q 'ei1 s
(E C..$ ••.. a • Name) ..� 4� �J �c-t_
Ai. 51
(Address; r i � ��'i j
(City) (State) Zip
have been contracted to perform electric installation work for
(Name ofparty • ed to)
at the following address:
(Address where work will be p rfonned)
The nature of the wort consists of : (Check One or Describe the N
1/<-1k � ire of Work) •
amon or new circuit for replacement Heating
R o new circuit for replace t Plant ' Condenser.
R of Service F Cable M �:
�Shbng fixtures due ever Box, � • � receptacles
Cables will require a to installation. Note: N g _ eC and
0 ntection or new circuit for other peananentiy fiances t
•
xtUres.
The value of this work is S 150.0°
e
I hereby vrify this arrl will be c
I hereby v r] / this w rk performed by an employee of this company and requirements_ will be dogepe with manufact verify the
urer and Electric code
>� � 11 officer - .�
(Prim Name of Officer)
at )
Received Time May. 2. 2011 5:18PM No. 5473