HomeMy WebLinkAbout0154745-HVAC (boiler) � CITY OF OSHKOSH No 154745
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 845 FRANKLIN ST Owner LEROY C/JENNIFER J SHIPLEY Create Date 03/18/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � (�✓ Replace � � Other �'
Forced Air ✓ Radiant Steam � A/C J Vent _ �I
Electric j Hot Water Suppl. Con. Burner ,
Chimney Type Q ChimneyA 0 Chimney B � Direct Vent 0 NotApplicable I
Heat Loss � As Approved � Existing � Not Applicable Value
BTU Rate � As Per Plan � Variable 0 Other Value
Use/Nature FR/REPLACE BOILER AND INSTALL CHIMNEY LINER **debit acct
of Work
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Fees: Valuation $5,800.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: � Date 03/18/2013
❑ Permit Voided I Parcel Id#1006180000
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
AgenUOwner
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.
03/15/2013 14:24 9206850490 MARTENS HEATING PAGE 01/02
City of Oshkosh
Division of Inspection Scrvices � ;
�.O_8ox 113Q �
os�cogh,wt sa9oa-i i3o
Phone(920)236-5050
Fax (920)236-5064 � �
pN THF W/1TER
HVAC PE#�4�1�1' A�PPLIGA�,T��O�f
AIl ia�orn�aon afta baId catogozies mnst lx provided. :
Incomplcte applications will not be processed.
• Application(s)and fcc(s)can be brought to City Hall,Room 205 or mailed m Insp�ction Services,�O Box 1128,
Oehkoeb Vl� 54903-1128. Commeaeing wark without�xmnit(s)will reeult i�n fee�bemg doublcd or$100,00 plus tlzc
nozmal permit fee,which ever is greater. '
OR .
ou are a eontraeto� a ti i a i . i the Permit Aec unt cte d ave ade nds ch here
i ou want this ro ssed t ro h ou account
DATE �
►
JOB ADARE S �/'
r �
OWYER 1
CON'�tACTUR Q� i
C�ECK EI ALL A,PP�,�CA�Bi.,E
U ATEGOiiX
Single Family �Auplex C7Multi-Family C]Rental ❑Commercia� ❑xndustriai
FLTEI, � f�Elecfic C7Solid SYS'I'EM (�Ne�v �c�
[]Oil ❑Sol� p�� �
TYPE
C1Forced Air diant f_]Steat��A/C�Vent DElecti,ic �Hot�ater�S�p1.pCon.B�ner
c r
IS CSIMNEY I3EING LINED.C7No cs -LIhTER S��`��1V�ANCTF,a�CT(TRE q ��✓f-�
Note:All chiameys shall be sized per r�e TU's be�ing venud. � .
CHXIV�NEY TYPE ❑ � A ❑Chimaney B irect Vent ❑Other
HEAT LOS$ .�I��oved �Existing ONot Applicab�e
BTU RATL ,�zk+3�'cr Plar� I�Variablc f�Othcr Valuc
DESCRIPTION UF A LL�V03tK BEING DO�TE ����� �
J
VA,LUE(Inclnding la�c�r and s11 materia�s fncluding l�ght fixtures) .-U>G�,�r
ELECT'RICA.�,CONTRACTOR O Eleetric Inszaflation V�ritisxt}an{orm attached(1fReplaccrrn►u)
E! rical ins�adlotior of newJ►�laeveau eqvipment sluill bs done by licouul conrr�ctors
Received Time Mar. 15. 2013 2:48PM No, 2538 3�02
03/15/2013 14:30 9206850490 M�RTENS HE�TING P�GE 02/02
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Received Time Mar. 15, 2013 2; 54PM No, 2540