HomeMy WebLinkAbout0156501-HVAC (furnace) � CITY OF OSHKOSH No 156501
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 862 VINE AVE Owner ELVA J TOVAR Create Date 07/02/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New _� �✓ Replace � Other I
Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. j 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 SFR\Replace furnace
of Work
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Fees: Valuation $1,625.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ���� Date 07/02/2013
� Permit Voided I Parcel Id#0503210000
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.
07/02/2013 07:24 9206850490 MARTENS HEATING PAC�E 03/06
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City of Oshkosh �� '~�� �
Division o£Inspection Services � :
P.O.Box l�130 �
pshkosh,Vl1I 54903-1130
r�,���92b�a��sosu
Fax (920)236-5084 ' ' O
pN THE WATER .
� IiVAC PEi���T �f'PLIC�kT10�{V
AIl inforasatio»after bold categories bnust be provided.
Iucoreplctc applicatioas unU,not bP:precessed.
� Applicabion(s)ane�fee(s)can be brought to City Hail,Room 205 or maaled to�nspe�ction Semces,PO Box:1128, :
Oshkosh WI 5�903�Z 128. Commencmg woxk without pernut(s)will re.s�lt m�fees being floubled or$100.00 plus tho
nornnal petzr�i.t fee,whicb ever is�reater. :
o are con�trRactor rtici ti i rAe r ' e Ac unt te and ve ua� uttd heck h re
i o an� is r a• rov nur t
DATE �
JOB.A�DRESS_.��'� 0 Z, �I►•�-�. ��•
OWl��:� � oJ
CONTRACT4R � �
CHECK �A.�,L APPL�CAB�..E
�SE CA,�'EGO�tY
ingle F3nni.�y ❑Auplex OMulti-FamilY ORental ❑Co�rn�z�cial ❑Iudustria�
Fu�;�. �s a��;cri� ❑solia sYS�M orr� �entac�
❑Oil [�Solar �� ,
T�PE
�Fozced Aic�Radiant�Steam CIA/C C]Ve�nt�Electrie CFHot Water OS�p1.QCcxi.Burmer
IS C�IVIlVEY BE�tG LXNED�No�Yes -LIl'�iER SIZE &1VIANUFAG'1'YJRER
Note:All chimoaeys sball be sized pex the BTU'�beia�g vented. � � � �
CHIIVIlVEY TYPE OChirrmey A ❑Chi�rmey$ �ireet Vent ❑Other
�A?LOSS I�As Approvcd. �xisting ONot Applicable
g�gA,� �s Per Plan OVariable C70ther Value
DESCRIP'x'taN O�'ALL wOiLK BEIIVG IIONE� r 4 C �-��p �l''`Q�'��
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VA?.iTE(Incladfng la�ar snd All tnaterials i�cluding l�ht fuivres)�.Q ��
ELTCTRICAI.CO1�tTR4CT'U� ���Electrlc inst�HatSAn Veri�ta4ion for�attachtdElf Rrpincement)
Elocr.��n�tn�al/atfan alnew/reeleeemenr ag�ipn+ar+r sl�afl b�;d�ne by lloensed connacKOrs
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I laereby ve=ify ti�is work will be petfar�EOtcd bY aa ae�oY�e of t�s oa�mary e�d f�tl�ex yerif'Y�
z�conaection/�ou�riIl be dane in co�on�ce with �n�d E�°D�
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