HomeMy WebLinkAbout0154484 - HVAC (furnace) 0 CITY OF OSHKOSH No 154484
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 819 W 8TH AVE Owner MARCIAA JUNGWIRTH Create Date 02/18/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓j Gas ❑ Oil J LTETectric , ❑ Solar ❑ Solid
System [] New I Q Replace I ❑ Other
u Forced Air _J Radiant Steam ❑ A/C _J Vent 1
J Electric J ❑ Hot Water Suppl. j 0—C73n. Burner J
Chimney Type Chimney A ❑ Chimney B • Direct Vent ❑ Not Applicable
Heat Loss
As Approved ❑ Existing • Not Applicable Value
BTU Rate As Per Plan ❑ Variable • Other Value
Use/Nature SFR/REPLACE FURNACE **debit acct ---- -
of Work
Fees: Valuation $1,550.00 Plan Approval - $0.00 Permit Fee Paid $46.00
Issued By: Gki Date 02/18/2013
❑ Permit Voided I Parcel Id#0605750000
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.
02/18/2013 13:21 9206850490
City of Oshkosh MARTENS HEATING PAGE 01/02
Division of Inspection Services
P.O.Box 11130
Oshkosh,WI 54903-1130 (41111;Phone(920)236-5050
Fax (920)236-5084 O r H11 ,' u
ON THE WAI
ER
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 5100.00 plus the
normal permit fee,which ever is greater.
OR •
.0 ar: a co t acto •ar 'ci•• 'i - i , the •ern ' ee ;.ee,. nt S tee, •ad ave !de• !to ! ds _heck i ere
if you want this nrocessed t •24r.< 'UT •cc• t
DATE Z/103
JOB ADDRESS :' k • male... ` '-
OWNER 111 kr C. 6. - u ,►(41-
CONTRACTOR, ri' u S Rt94 y__ ______
CHECK RI ALL APPLICABLE
USX.CATEGORY
ingle Family °Duplex DMulti-Family ORental DComrnercial DIndustrial
FUEL ,as DEleetric ❑Solid SYSTEM Other .■3Replace
DOil ❑Solar
ForE ced Air°Radiant OSteam DA/C❑Vent°Electric CIHot Water DSuppl.00on.Burner
IS CHIMNEY BEING LINED 1Vo ClYes -LINER SIZE &MA WACTURER,_
Note:All chimneys shall be sized per the BTU's being vented. -
CH[MNEY TYPE OChirtmey A l7Chirxtney B ect Vent °Other
HEAT LOSS DAs Approved °Existing ONot Applicable
BTU RATE DAs Per Plan DVariable ❑Other Value
le-
DESCRIPTION OF ALL WORK$SING DONE t'-,. n ' r' " e .
Do
VALUE(Including labor and all materials including light fixtures) $ IFS-C)
ELECTRICAL CONTRACTOR (2_4 7ectrie Installation Verification form attached(tf Replacement)
Electrical Installation of new/replacement equipment shall be done by licensed contractors
Received Time Feb. 18. 2013 12: 45PM No. 2354 3/02
02118/2013 13:21 9206850490 MARTENS HEATING PAGE 02/02
City of Os:Math
Div Woo 2 5 M Novices
PO HeR 1 130
Ottikatb WI 54902-1130
a6'r,E w�T OS:e'3_236.$.5090
EA
Pmt Y20-2364084
Electric Instailiation Verification
•
(1)(we) 4 vl ;S
JAI P
L.L
• v.o._, a�, N>10 e) SG tI1cc C
�C.
(Ad )_fi I • ro 1 5L/1k3
(City) (Stare) (Zip Code)
have been contracted to perform electric installation work for • .
of iazty ountrebted to)
at the following r i • s `�
(Address where wodc will be performed)
The nature of the work cow of: (Check One or Descrilae the Nate of Work)
Reconnection or new circuit for
rviacemers Heating Plant for A/C Condenser.
Reconnection new circuit
for naplacetnent Elecliic Water Heer
Reconnection of the Service Entrance Cable,Meter Box, too
Lgh�fixtures due to siding/soffit lladon. Nate: New Service des and
Cables will require a scparate pert .
Reconnectioz3 or new circuit for other pernsmoesely ward applianevs/fixtures.
The value of this work is$ J j °
I hereby verify this work
/ink,wxll be performed by i employee of this company further vim,the
requirements. with manufacturer and Electric code
(Signature of • . ,t Office.) (Print Name of Officer) •
Received Time Feb. 18. 2013 12:45PM No. 2354