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Home My WebLink About0146620-HVAC (furnace) 0 CITY OF OSHKOSH No 146620 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2329 COMET ST Owner OSHKOSH HOUSING AUTHORITY Create Date 06/30/2011 Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Inspector John Zarate Fuel U Gas U Oil U Electric U Solar Li Solid System ❑ New [f Replace ❑ Other L✓j Forced Air U Radiant ❑ Steam u A/C ❑ Vent Electric I J 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 ❑ Permit Voided Parcel Id # 1518080100 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 Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236-0050 OJ —IKO/H Fax (920) 236 -5084 f 1 ON THE WA ER 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 doubled or $100.00 plus the normal permit fee, which ever is greater. OR • If you are a contractor participating' in the Permie Account System and have adequate funds. check here if you want this processed through your account k DATE U) -ay -t JOB ADDRESS 41. . R 6 IA - . OS • h 51-IQ()) OWNER SCi b Piclap c na U c I CONTRACTOR H Q. r \- 1-\ f n -ki n q CHECK H ALL APPLICABLE `J USE CATEGORY Min Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial FUEL ligas DElectric ❑Solid SYSTEM EINew ler eplace 0Oi1 ❑Solar ❑Other TYPE 1*orced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric ❑Hot Water OSuppi.00on. Burner IS CHIMNEY BEING LINED ONo tYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the B '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 DOther Value DESCRIPTION OF ALL W BEING DONE Y1T (a« P \aC-e YreCli- -- - VALUE (Including labor and all materials including light fixtures) $ i , ` 5 0 ELECTRICAL CONTRACTOR OR 1ectric Installation Verification form attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors 3/02 ® City of Oshkosh Division of Inspeclson Services 21S Chwch Avenue PO Box 1130 c...Th-------- Oshkosh W1 5 4902-1130 ---oncr,---;77-----,varEn 920-236- Electric Installation Verification (I) (We) clei i s 1 - pi qi-td/ - Pii / 4 ,.- 467 Z-PrItc41- (Electrical Con. to Name) S'excic-- ic , ‘C.) b. 511- eib 0 A gq, • (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for S o bah R l A )anciu2Li (Name of party contracted to) • 4 at the following address: • a (.5q°0 1 .._ OAR " (Address where work will be performed) The nature of the work consists of : (Check One or Describe the Nature of Work) . 1NReconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate pennit Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $ I hereby verify this work will be performed by an employee of this company and firther verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. ■10e (Signature of ' I mpany Officer) (Print Name of Officer) (Date)