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HomeMy WebLinkAbout0146357-HVAC (furnace) CITY OF OSHKOSH No 146357 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 257 W 18TH AVE Owner CARRIE A COLLINS Create Date 06/14/2011 Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Inspector Nicole Krahn Fuel ❑✓ Gas ❑ Oil ❑ Electric U Solar I I Solid System ❑ New 0 Replace ❑ Other Forced Air u Radiant ❑ Steam ❑ NC ❑ Vent Electric I Hot Water U Suppl. ❑ Con. Burner Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate p As Per Plan O Variable • Other Value Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY ACE ELECTRICAL SERVICES LLC **debit acct of Work Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $32.50 Issued By: Date 06/14/2011 ❑ Permit Voided I Parcel Id # 1405200000 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. 06/14/2011 14:32 9206850490 MARTENS HEATING PAGE 01/02 City of Oshkosh Division of Inspection " ices P.O. Box 1130 - Oshkosh, WI 54903 -11 1 Phone (920) 236 -5050 Fax (920) 236 -5084 OI"K0 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 5 ervices, PO Box 1128, Oshkosh WI 54913 Commencing work without permit(s) will result in fees being loubled or $100.00 plus the normal permit f- which ever is greater. OR . • are a contra 'tor , artici. ati _ ", t, • _ • ermi e - Accou _ - • ! . r . ' JO; ad u • to u h- . , - i ' u want this ,r, essed thro-. 2 . . • . . c . unt L DATE c0 JOB ADDRESS . • . h A r _i. 5 (f9/a OWNER Ccir e. C" pl l i n CONTRACTOR a r i n.5 HPOtir9 CHECK H ALL AP ' LICABLE � i CATEGORY ngle Family ■Duplex ❑Multi - Family ORental DCommercial ❑Industrial FUEL 1 - ❑Electric DSolid SYSTEM DNew Replace • Oil ❑Solar ❑Other TYPE - /C OVent OElcctric 1 1Hot Water D Forced Air C]Radi- , t OSteaxn ❑A Suppl.00on. Burner IS CHIMNEY BIN LINED % o f3Ycs - LINER SIZE & MANUFACTU).EIt Note: All chinmeys sb*1 be sized BTU's being vented_ CHIMNEY TYPE EiChimney A DChimney B DDirect Vent ClOther HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE OAc Per Plan OVariable ©Other Value DESCRIPT IO OF : WORK BEING DONE - ft -. no 1 me .. Re sa _ 5 C. VALUE (Including 1a r and all materials including light fixtures) $ 1 l 50 0 ELECTRICAL CO CTOR OR Eleetrlc inetallatlon verification form Att*ched(lfReplacement) Ele installation of new/rsplacement equip neat shall be done by licensed contractors Received Time Jun.14. 2011 2:47PM No. 6027 3/07 06/14/2011 14:32 9206850490 MARTENS HEATING PAGE 02/02 ® 9. orUshkzash , ' ISMora Ammo se, • Mx1130 • : W1 54902.1130 � TM - - p; • trice 9Z0$3b6soso ax 920435.5084 Electric Installation Verification ( (We) 4 ' ' rl s ,.- , •t C t 41 ' • P1 1 Cam. I , (Electrical C. o e •, Name) - r 4 t-t, (Address (City) (State) Zip Code) have been contract to performs electric installation work for fll - ( N a m e o f p a r t y co a 4 ted to) > at the following ...:; • 1 410 1 h L (Address where work will be performed) . The nature of the wo consists of: (Check One or Descry the Nate of Work) new circuit for repot Head Plant and/or R '' • on or new circuit for replacement E e ct c W� ��dcztscn . y the Service • , of Entrance Cable lhdng s due to siding / soffit anon. Box, alter • receptacles and ' • es will require a New ce Entrance =motion or s� P R' ' • ' 4. nCw circuit for other permanently wired appliances fixture/4. The value of this w. , . is $, O O I hereby verify this . rk will be reconnection / i performed by ari employee of this install = : on will be done in compliance w ith m company and verify the requirements. a��tret' and Electric code • ,._.■ ,.-- ,,...=. (Signatu of Officer) /Chh� Name 1+1 ( Hame o Officer) (Date) • Received Time Jun. 14. 2011 2:47PM No. 6027 •