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HomeMy WebLinkAbout2013-HVAC (furnace) CITY OF OSHKOSH No 154294 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1013 ADAMS AVE Owner LISA M ULBRICH Create Date 01/29/2013 Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan Inspector Nicole Krahn Fuel J Gas EFElectric ] Solar ] tolid System ❑ New - 0 Replace ❑ Other ■!_j Forced Air D Radiant j Steam A/C 1 Vent H Electric ❑ Hot Water 1 H Suppl. ❑ Con. Burner Chimney Type C ChimneyA 0 Chimney B • Direct Vent ❑ Not Applicable Heat Loss • As Approved ❑ Existing 0 Not Applicable Value BTU Rate • As Per Plan ❑ Variable ❑ Other Value Use/Nature SFR/REPLACE FURANCE **debit acct of Work II I!i Fees: Valuation I l $1,500.00 Plan Approval $0.0__0 Permit Fee Paid $46.00 V J I , Issued By: Date 01/29/2013 ❑ Permit Voided Parcel Id#1606670000 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. 01/29/2013 08:09 9206850490 MARTENS HEATING PAGE 01/02 City of Oshkosh Division of Inspection Services P.O.Box 1,130 Oshkosh,WI 54903-1130 Phone(920)236-5050 ����� Fax (930)236.5084 ON THE WATER HVAC PERMIT APPLICATION All infoi mation 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 54903-1 128. Commencing work without perrnit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. if you are a conaracwr participatin_e in the Permit fe• count System and have,adequate funds. check here i ou wa '. •r, ed throu- o • .c.unt .re DATE I -21— l3 JOB ADDRESS (013 Aptilms 4 e, OWNER L s Vl r c,t, . , CONTRACTOR iV14,,r-1--ein c l4 ' CHECK Eel ALL APPLICABLE US ATEGORY ogle Family °Duplex ['Multi-Family ❑Rental °Commercial ❑Industrial FUEL r"°° °Electric ClSolid SYSTEM C]New "12<place DOil OSolar ❑Other E • rced Air❑Radiant OSteam❑AJC :Went❑Electric Elliot Water❑Suppl.©Con.Burner o r IS CHIMNEY BEING LINED C/Yes -LINER SIZE ; _ &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE "limey A OChimney B rect Vent ❑Other HEAT LOSS Approved ❑Existing Dot Applicable BTU RATE ,ters Per Plan ❑Variable ❑!Other Value DESCRIPTION OF ALL WORK BEING DONE 11-4rel.s.t..... .. IPve flGkP — • - VALUE(Including labor and all materials including light fixtures)$ 1 ELECTRICAL CONTRACTOR OR�Cl Electric Installation Verification form attached(If Replacement) Electrical installation of newfreplaeemaat equipment Mal be done by licensed eon:rocwrc Received Time Jan. 29. 2013 7: 33AM No. 2185 z/D2