HomeMy WebLinkAbout0146867-HVAC (furnace) CITY OF OSHKOSH
No
146867
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1020 N SAWYER ST Owner BARBARA M AUBRY Create Date 07/18/2011
Contractor MARTENS HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Inspector Nicole Krahn
Fuel 11 Gas ❑ Oil U Electric U Solar u Solid
System ID New 121 Replace [1 Other
H Forced Air u Radiant LJ Steam I_f NC Li Vent
[i Electric Li Hot Water [ Suppl. I _I Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 10 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / REPLACE FURNACE, 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 07/18/2011
Permit Voided I Parcel Id # 1605020000
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.
07/18/2011 12:22 9206850490 MARTENS HEATING PAGE 01/02
City of Oshkosh
Division of .T,hepection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236-5050 " C)J
Fax (920 ) 236-5084 v 1 I
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
incomplete applications will WA be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or trailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 - 1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
1 o . are a . rracto ramic 'i - in the .•ermit • • ; ccou t_ t. • id ha e ade uat • , ' chec e
if you wont this processed through your gccount I
DATE - I 8.'
JOB ADDRESS O� N v��.l t'� S li
OWNER BPI' rcxW ..� \ -- Ye
CONTRA rO r 5 c(7. q
C}LECK El ALL APPLICABLE J
SE CATEGORY
linglc Family ❑Duplex DMulti- Family ORental OComrrtercial ❑Industrial
•
FUEL )as ❑Electric ❑Solid SYSTEM CI ❑ New ( a ce
❑Oil ❑Solar
•
TYPE
Forced Air DRadiant CISteam ❑A/C ❑Vent ❑Electric Q1Iot Water OSuppl. ❑Con. Burner
LS CHIMNEY BUNG LINED do DYes - LINER SIZE & ]MANUFACTURER
Note: Ail chutneys shall be sized per e BTU's being vented. •
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS CIAs Approved ❑Existing ❑Nut Applicable
BTU RATE DAs Per Plan OVariable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE
•
VAL (Including labor mild nn materials Including light fix ( ,5
00 -Pee 4 3y -°°
ItT,ECTRICAL CONTRACTOR OR ❑ Electric Installation Verification form attachedpf Replacement)
F-ltsatrical installation of new/replacement equipment Shall be dons by licensed contractors
a /oa
Received Time Jul. 18. 2011 12:38PM No.6374
07/18/2011 12:22 9206850490 MARTENS HEATING PAGE 02/02
40110, 1 City of Oshkosh
MS ganh "savrees
PO Box 1130
O p ro � I 01146 CtSO20 X70
Fat 920- 236 -9084
Electric Installation Verification
(i) (We) a n .s ir - Ji A .4. .
(Electrical Co • o - or Name C �' �t� rc.�J -�,
p 4. ) sC ice—s 0.-4, 51 a ro
(Address) 5-q.
(City) (State)
have been contracted to (Zip Code)
Perform electric installation work for
at the following (Name of p con ted to)
g address: D. ■
(Address wh work �
•
will be performed)
The nature of the work consist of : (Check One or Describe the Nance of Work
__ Reconnection or new circuit for replacement Heating
c
Reconne on or. new cirt uit for rep nt Electric Water Heater.
. Conde
Reconnection of the Service �' ���
lighting fires due to a ale, Metier Box
ht will fixtures siding / soffit installation- Note yi receptacles and
require a separate perms. tratiCe
Reconnection or new circuit for other peaanently wired
� �.t
pizaces / fixtures.
The value of this work is $ � P � 0 0 —
eeo by verify thin work will be p �urzrted b
reconnection / i ° y an e m p to
installation will be done in cony Yh of this company and further re quirements. Plice with verify the
rx�anuf'er and Electric cock
(Signature of st pant' Officer) /�h'/ �
(Print Name of Officer)
(Date)
Received Time Jul. 18. 2011 12:38PM No.6374