HomeMy WebLinkAbout0154575 - HVAC (furnace) CITY OF OSHKOSH No 154575
10 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 34 W 12TH AVE Owner ESTHER RAMIREZ Create Date 02/27/2013
Contractor MARTENS HEATING&COOLING Category 500_Residential-Heating&Ventilating Plan
Inspector Nicole Krahn _
Fuel 1✓j Gas J Li Oil 11 ❑ Electric Solar i Er8aid j
System ❑ New 1 Z Replace ❑ Other I
j Forced Air j J Radiant �eam L�C i ❑ Vent
L I Electric J Li Hot Water 1 Ertuppl. j Li Con. Burner
Chimney Type 0— -himneyA ❑ Chimney B • Direct Vent ❑ Not Applicable 1
Heat Loss As Approved • Existing ❑ Not Applicable Value
BTU Rate LID As Per Plan ❑ Variable ❑ Other
Value
Use/Nature 1SFR/REPLACE FURNACE **debit acct
of Work
I
1
Fees: Valuation
� $1,500.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: $j I 1 1 y� .) Date 02/27/2013
❑ Permit Voided Parcel Id#0303160000
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.
02/27/2013 12:28 9206850490 MARTENS HEATING PAGE 04/04
City of Oshkosh
Division of Inspection Services
P.O.Rox 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 ��H
Fax (920)236-5084
ON THE WATER
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
If you are a contractor Dartictvatinf in the Perm't ee Account System and have gdequate funds, check here
i ou want this •ce _ r fr• -h . r accou t .4
DATE 2/ 7 J3
JOB ADDRESS 364 b . (2.4-1^ Asp •
OWNER 1� R�
CONTRACTOR 1 • '-- , ,
CHECK H ALL APPLICABLE
U CATEGORY
Ingle Family ❑Duplex f lMultii-Famtily Mental OCommercial ❑Industrial
FUEL / 6as °Electric OSolid SYSTEM °New eplace
❑Oil ElSolar OOther
Forced Air ORadiant[DSteam DAIC DVent DElectric ❑plot Water DSuppl.00on.Burner
IS CHIMNEY BEING LINED,EINo DYes -LINER SIZE &MANUFACPURER,
Note:All chimneys shall be sized per the BTU's being vented_ •
CHIMNEY TYPE ❑Chimney A OChitnney B ircct Vent 0Other
HEAT LOSS DAs Approved Fisting ONot Applicable
BTU RATE As Per Plan OVariable OOthcr Valuc IItt
DESCRIPTION OF ALL WORK RFING DONE .1.0(.4 c •P_ Ir-e l��-P
VALUE(Including labor and all materials including light fixtures)$ 1�g)o -
ELECTRICAL CONTRACTOR OR Alectric Installation Verlfieatioe form attsched(lf Replacement)
Electrical installation of new/replacement equipment shall he done by licensed contractor!
Received Time Feb. 27. 2013 11 : 52AM No. 2443 2/o2
02/27/2013 12:22 9206850490 MARTENS HEATING PAGE 03/04
•
C*o(Ost im b kaPectian Swim
Division 2� °r
PO Boot 1130
a 71 R Ovri1 +W1 54902-1130
aN TMa w�� _ ra�cO
9203364050
Electric Ias�a Verification
(I)(We) ct _
(Electric .•.:o_.. ,.: Name) SeleJice
�A
(Address) • -
I 1i o O 473
(City) (Sue) (Zip Code)
have been contracted to perForm electric Instaarion work for 4I-kr (lei_
(N-amiefkarty opted to)
at the fallowing address! 3 2'}')-.
A
(Address where work will be per)
The nature of the work consists of: (Check One or Describe the Nye of Work)
Ramon or new circuit for replacement Heating Plant andfor A/C
Ramon or new&Gust;f� �.
replacement Etc Water
Reconnection of the Service Fence Cable,Meter Box,Amnions to
des and
nd lightin fixtures due to siding/sofrr t installation. Note: New Service Entrance Ca will require a separate Reconnection or new circuit for other Ply wired reppilareces/fixtures.
The value of this work is
I reconnection hereby verify this work will be performed by an Yee of this
requirements_/installation be done in compliance with this van€Y the code
-
(Signature of • „..: Officer) (Print Name of Officer) (D )
•
Received Time Feb. 27. 2013 11 : 46AV1 2441