HomeMy WebLinkAbout0156906-HVAC (boiler) � CITY OF OSHKOSH No 156906
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 343 W SOUTH PARK AVE Owner JOSEPH R/ROSE M MATHE Create Date 07/26/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
Fuei ✓ Gas Oil Electric � Solar Solid
System � New I �✓ Replace I � Other j
Forced Air ✓ Radiant Steam A/C Vent �
Electric Hot Water � Suppl. Con.Burner ;
Chimney Type Chimney A 0 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 boiler
of Work
"'debit acct'* '
,
Fees: Valuation $5,371.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: ��� Date 07/26/2013
❑ Permit Voided I Parcel Id#0904160000
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.
07/25/2013 15:12 9206850490 MARTENS HEATING PAGE 01/01 '
Ciry of Osbkosh �
Division of Inspection.Services �
Y.U.Box 1130 ' �
O�bJcosh,WI 54903-�130
Phone(920)236-5050 �/
Fax (920)236-5084 I�Q,^,_
ON THE WATBR
HVAC P�#Z'IWI�T APPLICA�T�N :
� AIl in�ormation aRex bald categoz�es mast be provide�
Tncomplcte applications will mot be piocesscd.
• A,pplication(s)and fee(s)caa�be brought to City HaU,�oom 205 or mailed to Inspectio�3etvices,PO Box 1128,
Oshkosh WZ SA�903-1128. Commeneit�g work a►�thout penmit(s)will res�it in fees bc�g�loul�lcd or$100.00 p�us thc
nozmal p�►it fee,which evcr is greater.
OR �
I u are d con � artici ix the rmit unt S m and v e uad c k h¢re
i ou wan r cessed � h our ac unt
DATE
JOB ADDRESS � �'V • � l' � ,
QWNF.R _ _
CONTRACTOR ^ -�
C'�CK H ALL APPLICA,B�.E
USE CA'�'EGORY
`0'$ingle k'amity ODuplex ❑.1V,[ulti-Family C]Rental ❑Commercia� ❑Industrial
FiTEL �as ❑Electric ❑Solid 3YSTEM C7New �eplacc
❑Oil �Sol� ❑Oth�r
TYPE '
OFozced Air f�adiant OSteam DAJC �Ve�nt C1Electric l�ot Water DS�pp1.00on.Burner
IS CH.�.N�VkX�iL�.I.ivC�L1N�:U�lvo 13Yes -LA'�T�5rZE � &MANUFP,,CTtJR�R :
Note:All c�iAnaeys sha]]be sized per t�c BN's being vented. � . . ,
CHIlVINEY TYPE C]Chimney A OCh�imncy B '�Dxrect Vent ❑Other ;
$EA,T�,OSS �As Appz�oved `�Fxistin� ❑Not Applicable
STU RATE �As Per Plan OVaniable ❑Other Vatue
DESCRIPTION OF ALL�V03tK BEIlVG DONE
VALLTE(Inclading I�or aud ail materials includi:n�l�ght fixtures) � • ��
�,TG"X'RXCAL CON'�'RACTOR (�R ❑ Electric Iastallation Verifes�tfon form attached(ifR�pta�e)
,Elechtcal6tsteAatrort ofnew/replccemcm�equlpm¢�tt ahall be clone bylicocced ronmacrors
3/0�