HomeMy WebLinkAbout0146387-HVAC (furnace) 0 CITY OF OSHKOSH No 146387
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1321 OTTER AVE Owner ROBERT D /MANDY E RIDDLE Create Date 06/16/2011
Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas U Oil u Electric U Solar U Solid
System — 1 New 1 n Replace ❑ Other
u Forced Air LJ Radiant u Steam HI A/C Li Vent
U Electric I Hot Water U Suppl. LJ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 10 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace and install 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: OVh Date 06/16/2011
❑ Permit Voided I Parcel Id # 0802730000
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.
06/15/2011 16:43 9206850490 MARTENS HEATING w PAGE 01/02
City of Oshkosh
Division of Inspection Se-viees
P.O. Box 1130
Oshkosh, WI 54903 -1
p1],onc (920) 236 � n�I- -I
Fax (920) 236 -5084 ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories mast be provided.
Incomplete applications will not be processed-
• Applioatiof(s) one fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PC) Box 1128,
Oshkosh WI 549( 3 - 1128. Commencing work without permit(s) will result in fees bcing 1oub1cd ar S100.00 plus the
normal permit fee which ever is greater..
OR
! au are , co, tract • • • act, • ti _ t - Pe WI' - e j co , t S to ; , d . r, ve , , • ua • and the her
i o wan thi ra ^a.c.c ugh , ur , cc, nt /'1
DATE _ ( 15-1)
1
JOB ADDRESS f 1 _ -r Ave 0 1 s 5 I
OWNER • ■ w • • r -
CONTRACTOR. PO rAe fl s Hm-1-ipo
CHECK EI ALL APPLICABLE
RE CATEGORY
ingle Family °Duplex ❑Multi- Family °Rental DCommercial ❑Industrial
FUEL gCT DEleetric nSolid SYSTEM CDNew DifiReplace
. 1 ❑ Solar DOther
rePE
orced Air ORadinnt ❑Steam C IA/C ❑Vent ❑Electric °Hot Water OSuppl. ❑Con. B
IS CHIMNEY BEIP'G LINE °
D NoYes - LINER SIZE & MANUFA R
Note: All chiumeys shat be sized per the 's being vented. • . .
CHIMNEY TYPE OChirrmey A ❑Chimney B ❑Direct Vent DOther
REA.T LOSS OAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan []Variable DOther Value
•
DES T ON Of ALL WORK BEING DONE ,.
r no r <f r i eni- f .t , 14-x crN l rte, e A 1 l r
VALUE (Including 1 abor and all materials including light fixtures) $ 1 t - 0 0 -P e e 4 31 . °°
ELECTRICAL CONTRACTOR 24 ' E lectric lnsta laden Verification roan attacbedOrRcp�
1ac,$)
Elect cal installation of new /replacement equipment shall be done by licensed contractor
Received Time Jun. 15. 2011 4:59PM No. 6056 2/02
06/15/2011 16:43 9206850490 MARTENS HEATING PAGE 02/02
Cb of Oshkosh
21 Hof Services Avenue
n nee 1130
ofiny On own Wf sa9oz -� i3o
O 92o-
eN 7 NE M rAT! Fa 920-2364084
Electric Installadon Veriffcatift
(I) (We) ct yt • /
(Electrical C o .: Name)
sc'Alicel LLE,
`0 '•, . 5) d a A 5
(Address) (City) (State) (Zip Code)
have been contracted o perform electric installation work for and l
(Name of patty contracted to)
at the following address: • 1 `
(Address where work will be punned)
The nature of the work consists of : (Check One or Descate Nature of Work)
-
Reconnectio or new circuit for replacement Heating Plant and/
Rec�ection or new circuit far or Afi Condenser. Electric Water Heater.
Reconnectio of the Service Entrance Cable, Meter Box, alterations receptacles and
lighting fixtures due to siding / soffit installation_ Note: New Spice Entrance
Cables will require a separate p nni't.
Reccnaection or new circuit for other permanently wired appliances , fixtures.
otho-
The value of this wo- - k is $ _
I hereby verify ibis work will be performed b
reconnection / installation will be employee of this company and f�.er verify the
requirements. done in compliance with manufacturer and Electric code
(Signature of /cM
Si y Officer) s� . t ) I
(
) (PFint Name of Officer) (Date)
Received Time Jun. 15. 2011 4:59PM No. 6056