HomeMy WebLinkAbout2011-HVAC CITY OF OSHKOSH No 146822
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 108 PROSPECT AVE Owner ANDREW J /STEVEN J KEMPS Create Date 05/31/2011
Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Inspector John Zarate
Fuel j Gas LJ Oil Li Electric Li Solar Li Solid
System Q New n Replace [ Other
1 Forced Air a Radiant _J Steam u NC J Vent
Electric J Hot Water Suppl. Li 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 NSFR / HVAC SYSTEM FOR NEW HOME * *debit acct
of Work
Fees: Valuation $4,060.00 Plan Approval $0.00 Permit Fee Paid $71.50
Issued By: 25Y Date 07/14/2011
Permit Voided Parcel Id # 1007920000
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.
E9 dtiE l LL l'lnP aril paAia�a�
City of Oshkosh
Division of lnspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
ON THE WA ER
HVAC PERMIT APPLICATION
All infonmation 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 Inspectior. 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 Permit f e Recount System and have ttd�quate funds, cheek her
ff you want this processed through your account
DATE 7-
_
J OB ADDRESS 1 Pro s pP cr+ P v�
ow A n rl
CONTRACTOR M O Ir 4—P Y\ S �•'� �°ri -1 !(1
CHECK H ALL APPLICABLE
USE CATEGORY
'ingle Family ❑Duplex ClMu1ti- Family DRental DCon nercial Dlndustrial
FUEL ❑0a.c ❑Flectric ❑Solid SYSTEM J��New Dkeplace
DOil DSolar ❑Other
TYPE
Forced Air ORadiant ❑Steam ❑A/C OVent Q Eleetrie' DHot Water DSuppl.DCon. Bureer
IS CH1MN Y BEING LINED No DYes - LINER Si7R _ & MANUFACTU?ER
Note: All chimneys shall be sized per tie BTU's being vented -
CB MNEY TYPE DChirnney A DChimney B ODirect Vent DOtber
HEAT LOSS DAs Approved ❑Existing DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRYPTION O ALL WORK BEING DONE
I V A c r N t° 1.1..E v y\C. - - _
VALUE (Inc)uding labor and all materials including light fixtures) $ () • 0 � Q C �J
ELECTRICAL CONTRACTOR QRglectric Installation Veriftcatlon• orm attaehed(lf Replacement)
Elec installation ofnew /replaee►neni equipment shall be done try licensed contractnrc
r
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