HomeMy WebLinkAbout0156502-HVAC (furnace) � CITY OF OSHKOSH No 1ss5o2
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1717 SHERIDAN ST Owner REBECCA M VANRAVENSTEIN Create Date 07/02/2013
Contractor MARTENS HEATING&COOLING _ Category 500-Residential-Heating�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric j Solar Solid
System � New J �✓ Replace I � Other I
Forced Air '� Radiant Steam i A/C Vent
Electric Hot Water Q SuppL Con. Burner
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value :
Use/Nature Furnace replacement ,
of Work
I
I '
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Fees: Valuation $1,425.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ���— Date 07/02/2013
❑ Permit Voided I Parcel Id#1201370000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenbOwner
Address PO BOX 514 OMRO WI 54963 -514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
07/02/2013 07:24 9206850490 MARTENS HEATING PAGE 05/06
City of Oshkosh .
Division ofInspection Services �
Y.O.Box 1[30 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-50&4 ��(
i u�
ON TME WATER �
� HV�1C PE�9d1�T APPLICA'i"#O�d
All ia#'ormatiaa a,fter bold caregories nm�st be provided.
Iucon�lete a�licatiot�s will not be processed.
• A,pplication(s)and fee(s)can be brought to City Hall,Room 205 or mai�ed to Inspection Services,PO Box 1128,
Ushkosh W� 54903-1128. Commenci�ng work wirhout�ermit(s)will res�lt in fees bepng doubled ar$lOC1.0U plus the
norma]pernut fce,wluch ever is�reater.
OR . '
I are a co r r artici ati in t.he ce a e udte n eck her
i ant this �d throu h n�er acc t
DATE 2./ I � :
JOB AUDRESS I / I � �i�¢�;/llGtti �'1�.
�w,vFR�� ���� �r�� (�zY.�s-�-�:� :
corrrx�c�raR c-r S �
CHECK�ALL AFP�.�CABi.E
USE CA�'EG�RX
�Single Family �Auplex l7Multi-Fainily Gl�ten.tal C7Commer+cial OTndustrial
FUEL -�'�-s ❑Elcctcic DSoIid SYSTEM C1New �tcplace
'DOil ❑Solar C)Other
�E -
orced Air�Radiaat O3�eam❑A1C OVent C]Elcctnic OHot Water OSt�ppl.❑Can.Bivaer
IS C�EY BEYNG LIlVED�To DYes -LIlrTER SIZE &MANUFACI'URER
Note:A,II chimneys shall be si2ed p6r the BTU's beiag vented. � . ,
C$IlVIl�TEX TYPE ❑Clusnaey,A. ❑Chimney B �Direct Vent ClOthe�r :
AEAT LOSS ClA.s,E�.pproved �F,xi.sting �INat Applicablc
B1'U I.tATE �As Per Plan OVatiable �Other Va�ue
DESCRIPTION O�ALL WU�f.�EIlVG DOi�iE �C �
VA,LUE(Inclflding labor and 911 roateria�s inclu�i�g llght fiztures) ��='—
�LECTRXCAL CQN3'RAC�'OR E1Recfritci»artallc�(on o,f��1�acerne�t�equlpm��ha11�b¢don�e by►c�ensed�nvaeton
3/oa
07/02/2013 07:24 9206850490 MARTENS HEATING PAGE 06/06 �
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