HomeMy WebLinkAbout0157839-HVAC (furnace) � CITY OF OSHKOSH No 157839
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3026 JACKSON ST Owner 3026 JACKSON LLC Create Date 09/18/2013
Contractor MARTENS HEATING&COOLING_ Category 510-Ind. &Comm-Heating&Ventilati� 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. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature OMM/FURNACE REPLACEMENT **debit acct ;
of Work i
I
I
,
Fees: Valuation $5,100.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: _�?�'1��� Date 09/19/2013
❑ Permit Voided I Parcel Id#1519601600
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 pe�formed within two business days from the time the project is ready.
09/18/2013 07:29 9206850490 MARTENS HEATING PAGE 01/01
Ci of Oshkosh
Aadision of Inspection Services �
P, Box 1130 � �
Os osh,WI 54903-1130
�hdne(920)23f�5050
Fa� (920)23G-5084 O H
ON THE WATFR
HVAC PER�W�T �tPPLICA�'t�0�1
All infoz�maeon after bold categories�ust be pmvidecL
Incompleee applica�ons will not be proeessed.
•� Application(s)and fee(s)can be bmught to City Hall,Room 205 or mailed to Inspectiozi Services,PO Box 1128,
O�hku�L WI 54903-1128. Commencing work without pormit(s)will�sslt in fees bea�g doubled ar$100.b0 plus thc
� normal pe�znit fee,which ev�er is greater.
O�t �
I � are a contrecto� arti ' ' the er ' unt S s d h�ve a and chec he
i ou w i r ce ed throu h ou a� unt
AA,�'E I 7 �
J� A,AD�tESS d� � �0.C,1�,��ft J�
Q , ��� C.1� �;S I
cdNTRACTOR /� r S � "c�,
� CK�ALL A,PPLICABLE
iT CATEGORY
Q�i�ngle�amily ODuplex �Mu1ti�Fan�ily C]Rental �Commercial ❑Tz�dustrial
L �Gas ❑Electric CiSolid SX$TEM �INew k�lReplace
� DOiI ❑Solar �Other
�
, E
orced Air�Radiant�Steam l7A✓C CiVcnt DEleciric L1Hot Watec OS�gp1.�Can.Burner
I
I9 Y B�ZNG�A�D�No QYes -LIN�R SzZE &M�.NUFAGTU�,ER
No�e_All chimneys sha11 be sized per thc 8TV's beino�g vented. � . .
�Y TXPE DChirxmey A OChimney B I,��rect Vent ❑Other
k���'LOSS ❑As Ap�rnved �Existing l�Not A�p�icab�c
B RATE OAs Ptr Flan �Vaniablc �Othcr Va�uc
D� SCRIP�'I�N OF.A.�.�,R�ORK BEING T)C)NF .
J
�
V� UE clnd�� �a�or And a�l sagteria�s iactadi li ht�ixtures � ��. �v -
� S � � ).�—T
. EC'IZtYCAL CQN3'RACTO�t OR ❑ Electric lnsta119tten verit3cmt�ot►form anached�Rep�ac�e�ru�
F.lsc[rital instpllR[io►e ojRewh�lotcmene ay+�lpn+ent ahall be dona by Ileeesed rnnrrncrors
I �/°z
J