HomeMy WebLinkAbout0146622-HVAC (furnace) 0 CITY OF OSHKOSH No 146622
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 418 W 19TH AVE Owner STEVEN THORNTON Create Date 06/30/2011
Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Inspector Nicole Krahn
Fuel L)d Gas Li Oil LJ Electric LJ Solar LJ Solid
System (] New n Replace 1 0 Other
✓j Forced Air u Radiant u Steam u A/C U Vent J
J Electric I Hot Water U Suppl. U 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 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. EIV signed by Ace Electrical Services. ""debit acct
of Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $32.50
Issued By: Date 06/30/2011
0 Permit Voided Parcel Id # 1405560000
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
1111
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 0�,�(O��
Fax (920) 236 -5084 ON TH
HVAC PERMIT APPLICATION
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 ioubled or $100.00 plus the
normal permit fee, which ever is greater.
OR •
If you are a contractor participating in the Permit fee Account System and have ad wuate funds, check here
if you want this processed throufh your account g
DATE u2 ' y- I I
JOB ADDRESS "1 1® u. I qrb A v. h \Cosh 5 LOCO
OWNER S vf T hOvn 8-0 itTh
CONTRACTOR C r- 1s VA P.Q4► n
CHECK H ALL APPLICABLE
USE CATEGORY
'Single Family C]Duplex DMuiti Family ORental OCornrnercial ❑Industrial
FUEL ❑Electric ❑Solid SYSTEM ONew Replace
❑Oil ❑Solar °Other U (n 0 Le-
TYPE
Forced Air °Radiant °Steam ❑A/C °Vent °Electric °Hot Water OSuppl.00on. Burner
IS CHIMNEY BEING LINEDo °Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p r the BTU's being vented.
CHIMNEY TYPE °Chimney A °Chimney B ❑Direct Vent °Other
HEAT LOSS DAs Approved °Existing °Not Applicable
BTU RATE DAs Per Plan °Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE
Reyr ace ry-, (1 cpc, c/O,noo RTU. -
in labor and all materials including light fixtures) $ 1 0 0 -�� J I OD
VALUE (Including t
ELECTRICAL CONTRACTOR OR'Electric Installation Verification corm attached(lf Replacement)
Electrical installation of new /replacement equipitent shall be done by licensed contractors
3/02
City of Oshkosh
Division of Inspection Services
215 Oath Avenue
PO Box 1130
0/1-11.0.1"H Oshkosh WI 54902 -1130
Office 920. 236.3050
ON THE WATER Fax 920 - 236 -508.4
Electric Installation Verification
(I) (We) ._ a OT lit ;5 Pot fr) ►� q c
(Electrical gg M � CG vl J C � 69ex. �LN t_
(E al ContractorName) S'c ncte-S -LL
' 0 11. 51L t
•
(Address) (City) State ) (Zip d
( p Code)
have been contracted to perform electric installation work for
S I ° .v-en - Thorrrion
(Name of party cones ted to)
at the following address: L 8 . j q h oslhv 1�
(Address where work will be wed ) �
The nature of the work consists of : (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plain and/or A,C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations .o receptacles and
lighting fixtures due to siding / soffit installation. Note: New Se; vice Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances fixtures.
Other
The value of this work is S__425_2:__
I hereby verify this work will be performed by an employee of this company and furtl-er vefy
reconnection / installation will be done in compliance with man code en the
requirements.
7
(Signature of
rnpany Officer}
(Print Name of Officer) (Date)