HomeMy WebLinkAbout0153043 - HVAC (new furnace and duct work) (9 CITY OF OSHKOSH No 153043
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 619 FRANKLIN ST Owner RUSSELL H/KAREN L PETTIBONE JR Create Date 10/17/2012
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas 7 [Toil Electric U Solar [ljolid
System ❑ New J Replace [a Other
✓j Forced Air _ Radiant H Steam ❑ :A/C _ ❑ Vent 1
❑ Electric -1 j of Water ] __ Suppl. 1 ❑ Con. Burner
Chimney Type • Chimney A ❑ Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved O Existing O Not Applicable Value
BTU Rate • As Per Plan 0 Variable 0 Other Value
Use/Nature ISFR/INSTALL NEW FURNACE AND DUCT WORK **debit acct
of Work '
Fees: Valuation $4,282.00 Plan Approval $0.00 Permit Fee Paid - $74.50
Cm
Issued By: Oyn(i Date 10/17/2012
❑ Permit Voided j Parcel Id#0703380000
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.
10/17/2012 13:45 9206850490 MARTENS HEATING PAGE 01/02
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 —ft-
Fax Fax (920)236-5084
ON THE wATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provide&
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.
. are a contractor aar 'c'as ',; 'n the '_r4 " ' , aunt S • ,, a .ve ode, a ' ..< 's heck here
if Wu want this xLrpcested through your account
DATE lQ !71t
JOB ADDRESS I l•' I I. 4A IIIMITINA OWNER .�
CONTRACTOR ° s C i - t a d t
CHECK F(ALL APPLICABLE
USE TEGORY
Ingle Family ❑Duplex ❑Multi-Family °Rental ❑Commercial ❑Industrial
IJEL gas DElectric ❑Solid SYSTEM ONew lace
❑Oi1 ❑Solar ClOther
oreed Air❑Radiant❑Steam❑AIC ❑Vent°Electric OPIot Water OSuppl_❑Con.Burner
'IS CUTIMNEY BEING LINED ❑Yes -LINER SIZE &MANUFACTURER..
14ote:All chimneys shall be sized per the BTU's being vented. •
II �
Cm1v tEY TYPE ❑ ' A ❑Chirnncy B jt Vent ❑Other
1AT LOSS Approved ❑Existing ONot Applicable
BTU RATE. ilgrAs Per Plan [.Variable ❑Other Value
DES TTON OF ALL wia .. (I,WtOin Odg /192^'
"tVIYA "9— LO 1,04 1"
VALUE(Including labor and all materials including light fixtures)S, 4.1) 2.6210"
ELECTRICAL CONTRACTOR DE icct is Instanatton vcrifcatton form amen/lm ttcpleccmrnq
Electrical butalallon of newirepiaconern equipment shall be done by licensed contractors
Received Time Oct. 17. 2012 2: 08PM No. 1286 3/o2
10/17/2012 13:45 9206850490 MARTENS HEATING PAGE 02/02
ED Qiot arm
Divisiumarkeptamsenices
21s gsoA, „r
PD Bra 2130
Osiablo W152-1130
4:00. 4m, Oince 920.Z3641350
FaR 921-2364034
Electric Iastatiat1Verification
(7)('Salta) qYl S /� , q 41 � , r
cam I .1 , cez�rc�g-�M Name)
1!� � If* cC�efll.C`� LLB
' • +•(Address) 510k:3
(City) (State) (Zi• Code)
have been contracted to
perform eta for .
\,//'{��1g µ 1_
•
at the fonoisiog address: I d' / .-
(• • ' .- where Wok will be p )
The uat of the work cotes of
(Cheek One or 7 Sq • the Nam of Work)
Reconnection or rim circuit for
Reconnection or new circuit for p ay A!C Condenser.
Water°—, Reconnection of the Service Cable,Meter Box,akeratiofts to-receptacles and lighting fixtures due to siding/soffit installatical. Nato:- New
Cables will require a e Permit. Service F ntracce
, Reconnection or new
— circuit for wiled'Panoca/fixtwzs.
The value of this work is$
I hereby verify this wad will be
reconnection/ ova will miD3�e of t! copy the
with manufacturer and Electric r•de
.r.
(S�S7�hire of "�.. ,,,. .,��) COY ,� s l.j2:12._. -
(fit Name of Officer) (Date) •
i
Received Time Oct, 17. 2012 2: 08PM No 1286