HomeMy WebLinkAbout0156887-HVAC (replace 4 boilers) � CITY OF OSHKOSH No 156887
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1255 W 18TH AVE Owner VILLA ST THERESA INC Create Date 07/25/2013
Contractor MARTENS HEATING&COOLING Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas 1 Oil Electric � Solar Solid
System � New � �✓ Replace I � Other '
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Forced Air Radiant Steam i A/C _� Vent � '
Electric ✓ Hot Water Suppl. � Con.Bumer '
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 _J Value _ _
Use/Nature MULTI-FAMILY/replace 4 boilers I
of Work
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Fees: Valuation _ $72,000.00 Plan Approval $0.00 PermitFee Paid $564.00
Issued By: ���, Date 07/25/2013
❑ Permit Voided j Parcel Id#1307310300
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.
�5 �`�
City of Oshkosh
Division of Inspection Services � :
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 ��O �--I
ON THE WATER
HVAC PERMIT �PPLICATIO�i
All information after bold categories must be provi�ed.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to I:.ispecrion Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in �ees being doubled or$100.00 plus the
normal pernut fee,which ever is greater.
OR `
If vou are a contractor participatinQ in the Permit fee Account System an,:f have adeguate funds. check here
if you want this processed through vour account n
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CONTRACTOR rt s i r� �-- YYI�e c
CHECK L�1 ALL APPLiCASLE
USE CATEGORY
❑Single Family I�Duplex L�Muiti-Family DRental �o�renercial ❑Industrial
FUEL �,Gas ❑Electric ❑Solid SYSTEM �Ne�✓ J�eplace
❑Oil ❑Solar ❑Otl er
TYPE
❑Forced Air ORadiant OSteam DA/C ❑Vent�Electric�Hot Water OSuppl.��::on.Burner
IS CHIlVINEY BEING LIlVED:�No L7Yes -LINER SIZE &MAN1;►FACT[JRER
Note:All chimneys shall be sized per the BTU's being vented. .
CHIMNEY TYPE ❑Chimney A ❑Chimney B �irect Vent C::Other
HEAT LOSS ❑As Approved ClExisting C�Not Applicable
BTU RATE OAs Per Plan L7Variable DOther Value
DESCRIPTIOlr1 OF ALL WO�tK BEING DONE
�,n',�2, � o,��.P/2.aJ ��/1'Li.l�.�/L�� ��/1�- �Z���4�
- ,
VALITE(Including labor and all rasterials including light fixtnres} , � _ �'D�0�-I ,�O D
ELECTRICAL CONTR�CTOR P OR ❑ Electric Installation V�rifcation for�n attached(IfReplacemenq
�I C� �1 Electrical instal/ation of new/replaa>rraent equiprnent shall be tivne by licensed conrractors
� Plumber i�s
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