HomeMy WebLinkAbout0157243-HVAC � CITY OF OSHKOSH No 157243
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 413 W 14TH AVE Owner MARK S/NICKIE K TRITT Create Date 08/15/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � �✓ Replace I � 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 SFR/HVAC work for remodel
of Work
�"debit acct'�
,
�
Fees: Valuation _ $4,500.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: ��/�.. Date 08/15/2013
❑ Permit Voided i Parcel Id#0907340000
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.
08/15/2013 12:24 9206850490 MARTENS HEATING PAGE 01/01
City of Oshkosh
Divi�sion of Inspection Services � ,
P.O.8ox 1130 �
Oshkosh,W�54903-1130 :
Phone(920)236,5050
Fax (920)236-508A � KO H :
ON TNF WA'I�R
HVAC PERfiA1T �PPLIC�►T��N
All itat'ormation a:Ftcx 1io1d categories must be provided
Incon�lcre aPpiicatiotts will not be pxOcess�d.
• App]�cation(s)and fec(s)can be brought to City Hall,Room 205 or mailed to�nspection Services,PO Box 1128,
Oshkosh W� 54903-1128. Cofloimez�cing work withoat permit(s)will result in fe�s being doubled o�'$100.00 plus tlae
nozmal permit fee,whicb ever is greater.
OR �
t u se a contractof' i ati�t in th� r►ni e unt S st� d have t und c e here
1 G wont this ro s d i�rou h ou acc unt
DA'� ,
.roB ann�ss l � • � �}�- :
OWNER r �r , "�'T _
CON'�'RACTO�i (�� � � �
, �
C�CK E�!ALL APPLICABLE
�U E CA,�GOxiX
ingle Family C1Auplex �Multi-Fami�y ❑Rental ClCoznmercial ❑Inc�ustrial
FUEL �� QElectric ❑Solid SXS'�"EM �Tew �eplace ;
❑Oi ❑Solar OOther
'�'YPE
�orced Air�Radiant�Steam OPJC ❑Vent C1Electric �Hot�Vater OSuppl.00an.Burner
IS CffiMNEY SEING LIlVED`�Vo�Yes -LIIVER S� &MANLTFAC"TLTRER :
Note:All chimneys shall be siaed¢�r the BTU's being venred_ . .
CAZMNEY TXPE �Chimney,A, OGhimney B �Direct Vent ClOthcr
HE,A,'�'LOSS C7As Approved 17Existinng QNot,A,pplicable
BTU RATE �As Per Plan �Variable DOther Valuc �
DE3CRIPTION OF ALL W032K SEING DONET V��� 1.���' -�F�!`- /'�? �`
VALUE(Inclnd�ng labor and all materials including Ii�ht fixfures)$ -I'2d� /
ELECTRICA.L CONT1tAC�'OR O� ❑ Tilletrie in�tsllatlon Verif en�ion form attaehedOf Rep�accn�enc)
B/ecrricrri r,rsrellrrlr'on of ncw/replacemeru eqrdp,n�r sAall be donc by licr�sor!conrmaor.�
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