HomeMy WebLinkAbout0154362 - HVAC (funrace) (ID CITY OF OSHKOSH No 154362
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1128 SCHOOL AVE Owner SARA C/CONNIE K JUNGWIRTH Create Date 02/06/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel I/I Gas Lii , Electric Li Solar Solid
System rJ New I 151 Replace I ❑ Other
✓j Forced Air H Radiant J Steam _J A/C Er-Vent i
Electric J ❑ Hot Water ❑ Suppl. I J Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing • Not Applicable I
I Value
BTU Rate As Per Plan 0 Variable 0 Other Value
Use/Nature SFR/REPLACE EXISTING FURNACE **debit acct
of Work
Fees: Valuation $1,615.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date 02/06/2013
0 Permit Voided Parcel Id#0205250000
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.
02/06/2013 11:04 9206850490
City of Oshkosh MARTENS HEATING PAGE 01/02
Division of Inspection Services
P.O.Box 1030
()
Oshkosh,WI 54903-1130
Phone(920)236-5050 ��/
Fax (920) 236-5084 (D -1K(JJ H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed_ •
• AppIicaticn(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 permit(s)will result in fees being doubled or 5100.00 plus the
normal permit fee,which ever is greater.
OR
Ifyoy area contractor participating in the Permit fe- 'c. •unt S to a,d ha e ade• r, a ui • . che. : are
i ou want r i 'roc- ed th • -h o ace, t i
DATE 216A 3
JOB ADDRESS 1 S ( 4.
OWNER. ' #
CONTRACTOR lL •,- • S r 'A ii'el
CHECK El ALL APPLICABLE
USE CATEGORY
Family °Duplex ❑Multi-Family DRetttal °Commercial ❑industrial
FUEL ❑Electric ❑Solid SYSTEM C]Neweplace
❑Oil ❑Solar ❑Other
or'ced Air❑Radiant CI Steam DAJC OVent❑Electric 01-lot Water ❑Suppl.laCon.Burner
IS CHIMNEY BEING LINED)21cro UYes •LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented. .
CHIMNEY TYPE ❑Chimmey A ❑Chimney B 261rect Vent ❑Other
HEAT LOSS C]As Approved ❑Existing QNot Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR Q�iectric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors
Received Time Feb. 6. 2013 10: 28AM No. 2249 3/02
02/06/2013 11:04 9206850490 MARTENS HEATING
PAGE 02/02
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Eltekiam
i �
215�:5 Avenue
---- _ PO Box 1 130
• i �WI549022-1130
Oflic Fax 920-z36,5034
Electric Instailatioi Verification
rn(We) a 'n S q
(Electrical Name) S-CV-aicel
•
(Address) - ._(7 Y1 rte U119�3
(OW (State) (Zip Code)
have been cow to perfolzoa electric installation work for
-..Sqt/QYv �1��
at the following address:
Warne of
� S
(Address where work will bo Pfd)
The nature of the work consists o f: (Check One
Name the agRrcdc)
.—�
Reconnection or _
--� for ent Plant afor +�ca AC Condenser.Reconnection or new circuit Water of��� �� Box,altenitions to.receptaeles and
nd lightiu.g fixtures due to / Note: New vice Entrance l a se Rec �e
Otter °r `"'Circuit for otbrt Iy-wired es Sixtlams.
The value of this work is$ Q o
hereby verify this will be,p�.o by
requirements.cd
reconnection
/ on will be done m compliance with of and r verify the and Electric code
(Signature o�F Officer) ir'fr
(fit Name of Officer) ate)
Received Time Feb. 6. 2013 10: 28AM No. 2249