HomeMy WebLinkAbout0152268 - HVAC (Furnace) el) CITY OF OSHKOSH No 152268
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 16 EVELINE ST — Owner MICHAEUKARA WIESNER
Contractor MARTENS HEATING& Create Date 08/23/2012
Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate —
Fuel ✓ Gas J ❑ Oil I u Electric
I Solar Solid
System ❑ New _
I [ J Replace Other
✓ Forced Air ] ❑ Radiant I __I Steam
I —J A/C 11 ❑ Vent J
❑Electric Hot Water I Li Suppl.
__ Con. Burner
Chimney Type Chimney 0 Chimney------------- B • Direct Vent 0 Not Applicable 1
Heat Loss As — — — i
0 s Approved 0 Existing • Not Applicable Value
BTU Rate - — -- --- — — — -----
As Per Plan —
----
— -- — Other I Value
Use/Nature ISFR/REPLACE FURNACE AND INSTALL CHIMNEY LINER **debit acct
of Work
L-.—
Fees: Valuation �$1,700.00 Plan Approval $0.00
Issued By:
��j1 1 Permit Fee Paid $35.50
Date 09/11/2012
❑ Permit Voided i Parcel Id#0803840000
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.
08/23/2012 08:35 9206850490
MARTENS HEATING PAGE 01/02
(oliii\--City of Oshkosh
Division of Inspection.Services
P.Q. Box 1130
Oshkosh,WI 54903-1130
•,1111111J-')F
Phone(920)236-5050
Fax (920) 236-5084 OJHKQ/H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will lint 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 5100.00 plus the
normal permit fee,which ever is greater.
OR •
I ou are • cant actor . •rti. i•att,; in the eru - ee ce#unt S ste an hay- ader ua _- am c eck here
if you woutt this processed tllrnuph your.ac •unt In
DATE g/c33/l :)__
JOB ADDRESS • L-' ✓e '
OWNER V /, - A .. '
CONTRACTOR MO Mein 5 / ea*I na
CHECK H ALL APPLICABLE
US;CATEGORY
INScingle Family ODuplex OMulti-Family ORental DCommercial °Industrial
FUEL siZ‘ DEleetrie ❑Solid SYSTEM ONew LEI place
DOil OSolar DOther
TYPE
?ced Air°Radiant°Stearn DA/C DVent °Electric OHot Water DSuppl.DCon.Burner
IS CHIMNEY BEING LINED LINO Effes -LINER SIZE 315(35" &MANUFACTURER F1 ex-O-/1 h /
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B 101: ect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing °Not Applicable
BTU RATE l7As Per Plan DVariable ❑Other Value
•
DESCRIPTION OF ALL WORK BEING DONE
. /L,!. • ' / 1.it;di '.r_ ../ .6i '• - . _
•
—7 1X
VALUE (Including labor and all materials including light fixtures) $ $ 7
' / 0Q• J
ELECTRICAL CONTRACTOR OR) Electric Installation Verification form attachcdof Replacement)
Electrical Installation of new/replacement equipment shall be done by licensed contractors
Received Time Aug. 23. 2012 8: 56AM No 0568
3/02