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Home My WebLink About0137549-HVAC (2 furnaces) CITY OF OSHKOSH No 137549 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 409 WAUGOO AVE Owner ROBERT C /LORI E WILLIAMS Create Date 08/11/2009 Contractor MARTENS HEATING & COOLING Category 500_ Residential- Heating & Ventilating Plan Fuel [✓j Gas 1 Li Oil d Electric EFSolar 1 J Solid System n New [ Replace [] Other U Forced Air i U Radiant Steam u NC u Vent Li_ Electric 1 u Hot Water [] Suppl. L] Con. Burner Chimney Type 0 Chimney A 0 Chimney B (3 Direct Vent . Not Applicable Heat Loss 0 As Approved 0 Existing AIUNot Applicable Value BTU Rate `} As Per Plan Variable AD Other Value Use /Nature MULTI FAMILY / LATE PERMIT replace 2 furnaces EIV signed by Martens CK# 3209 of Work Fees: Valuation $2,928.00 Plan Approval $0.00 Permit Fee Paid $55.00 Issued By: Date 08/11/2009 0 Permit Voided Parcel Id # 0200400000 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 1111111 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 O IHKO /H ON THE WATER 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 participatinz in the Permit fee Account System and have adequate funds, check here if you want this processed through your account f DATE 6/3 JOB ADDRESS I_ 1 10 9' Wat.g OWNER 12 o b e rf W 1 t (ia n CONTRACTOR a) 0 r +€ J1.5 t7 PQ Yl CHECK FZ1 ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex kIulti ❑Rental ❑Commercial ❑Industrial FUEL Gas ❑Electric ❑Solid SYSTEM ❑New ►•�' eplace ❑boil ❑Solar ❑Other 'TAPE orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED : ❑No ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A OChimney B ODirect Vent ['Other HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ['Other Value DESCRIPTION OF ALL WORK BEING DONE _ � .,�_ _�- - -� et , � - VALUE (Including labor and all materials including light fixtures) $ p 1 p g 00 55,00 ELECTRICAL CONTRACTOR OR Xileetric Installation Verification form attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors 3/02 City of Oshkosh Dives of Inspection Services 215 Church Avenue �� PO Box 1130 Oshkosh WI 54902 -1130 v' 1 1 '4.4/ rl Office 920. 2364050 7 1E WATER Fax 9 20 - 236 -50U Electric Installation Verification (I) (We) Q vt ; (Electrical Con.-- tor Name) �L 0 ox ro (d0I 5-49 (Address) (City) ` ') (State) (Zip Code) have been contracted to perform electric installation work for / j V Q C/ P (Name of party contacted to) at the following address: 0`1 GO, . • 06 (Addres where work will be performed) The nature of the work consists of : (Check One or Describe the Nature of Work) Reconnection or new circuit far lacen� reP ent Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnectio of the Service Entrance Cable, Meter Box, alterations fixtures due to siding / soffit installation. Note: ervice Entrance and Cables will require a separate pmt Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is I hereby verify this work will be reconnection / installation will be doeCP compliance manufacturer further verify the ne in requirements. der and Electric code (Signature of •mPanY Officer) (Print Name of Officer) (Date)