HomeMy WebLinkAbout0155938-HVAC (a/c) /�'� CITY OF OSHKOSH No 155938
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1146 CENTRAL ST Owner MICHAEL D/JAMMIE J DENNIN Create Date 06/03/2013
Contractor MARTENS HEATING&COOLING Category 501 -Residential-Air Conditioning Plan
Inspector Jon Mueller
Fuel ✓ Gas � Oil Electric Solar Solid
System � New � �✓ Replace I Q Other �
Forced Air Radiant Steam ✓ A/C � Vent
Electric Hot Water Suppl. Con. Burner
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 Replace central air system
of Work
i
i
— �
Fees: Valuation $2,979.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �_ Date 06/03/2013
.
❑ Permit Voided j Parcel Id#1007730000
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 catl the Inspection Request line at 236-5128 noting the Address, Pertnit 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.
06/03/2013 09:57 9206850490 MARTENS HEATING PACaE 01/02
City of 4shkosh �
Divisioa of Inspection Seivices � �
P.O.Box�130 �
Oshkosh,WI 54903-1130
Pb,pn�(920)236-5050
Fax (920)236-5084 0
ON THE WATER
� HV�kC Pf#�A�T A�PPLICA�T�t3�1
AIl�foanatian after bold ca�egozies mtust be pcavided.
Inconaplete applications�v�l not be ptoc�ssed. .
• Appl�catian(s)and fee(s)ca�be brought to City.HaII,Roam 205 or mailed to Tx�spection Services,PO Box 1128, :
Oshkosh VVI 5�4903�11�8. Comm�faeia8 wark witl�out per�it(s)will rosutt m foee bemg doubled ar$100_00 plus tk�P
notmal permit fee,ahich ever is greater.
OR '
I r� a co tract art' i a i in th ermi Ac unt S m and v ade u d c ec h r
i u nt thi ro sed t rnu ur c unt
A�,� 3
JOB.A.D�RES.S
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owrr�R . . .
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corr�c�raR '
CHECK�ALL AFPLICABLE
�U CATEGaRY
mgle Family �Du�lex ❑lv�ulti-Family ClRental ClCammerCial ❑Indust�ial
Fi7El: � L]Electric C.7Solid SYSTEM � �eplace
❑O�l ❑Sol�r
TY]P�
ClForccd Air�Radiant C]Sxeaxin�C DVe�nt OElectric OHot�Vater aSuppl.C]Co�.B�tne�
�S C�?IlV�1EY BEING LINTLD�Io 0 Yes -LINER SIZE &MANUFACTCT�LER
Note:All cltiameys sl�all b�s'rted pe�r the BTCT's being vented. � . , �
C�N�Y TYFE �ChimnCY A ❑Chimney B QAi�rcct Vent �Othe�c�
�,AT LOSS GIAs Approved �ExistiaS ONot Applicable
$.���, p�p�pl� ❑Variable DOdicr Value
D��Cx� N UF ALx.Wt3�tK BEING AON£
' C� ,�� �� �
S -
� �v
VAL[TE(Iaclud�ng l�bo�and all nnateriais includ�i;ng 1l�ht�rivres)���
ELECTRICA.L CQI�TRACTOR V�C/G Electt'fie Tosta�i�tlon Ver9Acatlon•€orm attached(IfReptacrnxnt)
u�eat bisrella�ian of new/rq�lacen��r►t er�uipn,�u sAoU be drme by licensed cont�aMOi
3/0: :
06/03/2013 09:57 9206850490 MARTENS HEATING PAGE 02/02
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