HomeMy WebLinkAbout0154576 - HVAC (furnace) (.9 CITY OF OSHKOSH No 154576
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1629 ARIZONA ST Owner MINDY S TURINSKE Create Date 02/27/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel [J Gas Oil 1 ❑ Electric 1 Li Solar Solid i
System ❑-New - Q Replace ❑ Other _ j
4 Forced Air Radiant I ❑ Steam ❑ A/C Vent
U Electric j ❑ Hot Water Suppl. ❑ Con. Burner
Chimney Type • Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss As Approved • Existing O Not Applicable I Value
BTU Rate • As Per Plan O Variable O Other Value
Use/Nature SFR/REPLACE FURNACE **debit acct
of Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: 2rylel Lj Date 02/27/2013
❑ Permit Voided] Parcel Id#0908050000
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
City of Oshkosh MARTENS HEATING PAGE 01/04
Division of lnspectidn-Services
P.O.Box 11130
Oshkosh,*154903-1130 . E)
Phone(920)236-5050 /uV(��u
Fax (920)236-5084 L,JJ HKO I I
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$100.00 plus the
normal permit fee,which ever is greater.
OR
if you are a contractor participating in the 'er ' :e .ccou,c teit aid have s i • ' ate ui c check hell
if you want this processed through tour actpunt ►
DATE 272-1//3-1-. ,
JOB ADDRESS /4,29 .,-z.c.." 0, J
___....,______
OWNER... !1'I i in <
CONTRACTOR 'mil E✓', 4-e , .4
CHECK H ALL APPLICABLE
USE CATEGORY
,mg1e Family Quplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM ❑New Replace
❑Oil ❑Solar ❑Other
nrPE
Korced Air❑Radiant ❑Steam ❑AIC ❑Vent❑Electric DHot Water❑SuppLDCon.Burner
IS CIIIIVIIVEY BUNG LINED.040 Dyes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented. .
CHIMNEY TYPE OChimney A ❑Chimney B Iiitirect Vent ❑Other
HEAT LOSS DAs Approved `Zatisting ❑Not Applicable
BTIJ RATE ` As Per Plan OVariable °Other Value
DESCRIPTION OF ALL WORK BEING DONE 12-ef Lk� -k —C.4 c-e--
VALUE (Including labor and all materials including light fixtures)$ IF D O -52—Q— _
ELECTRICAL CONTRACTOR QQ yS�) Electric installation Verification form attathed(if Replacement)
Electric installation of new/replacement equipment shall be done by licensed contractors
lam_ 3rfti2 .,
Received Time Feb. 27. 2013 11 : 52AM No. 2443 -- - — —
02/27/2013 12:28 9206850490 MARTENS HEATING PAGE 02/04
City of Gibbed)
Divid Ct onsipeetioi
215 A Sacvoes
PO Box 1130
Oshkosh W?Q1130
Prix 920.236.5984
Electric Installation Verificatim
•
(1)(We) a Ofvl ;S r
r�- � n a 4 � .44 , Camd (1106.
(Electrical C..• . o. Nazue) . 5- cncel LLB
(Address)
I4 n I 5 443
(City) (Ste) (Zip Code)
have been contracted to perform electric installation work for` j!,
tane coed to)
at the fotlou ng address: -2-1
(Address whew work will be per)
The nature of the work consists of_ (Check One or Descdhethe Nam of Work)
1 Reconnection
new circuit for replacement Heating Ply or A/C Condenser.
Reconnection or new circuit for repot Electric Wad
of the Service Entrance��� due to ��Metes'Box, to males and
Cables will sib t soffit anion, Note: New Service Entrance
Reconnection require a separate permit.
Other '
or new cirrtiR for other perm t1y wiEed appliances/fixnzreiic.
The value of this work is$ b F72
1 i'�by verify this work -
I here y e2i !installation this will be performed by an employee of this
will be done in cue with Y and Electric verify the
requirements. a�Electric code
.�..!
(Signature of %. . Officer) (Print karne O cep 2
argOfEcer) ate)
Received Time Feb. 27. 2013 11 : 52AM No. 2443