HomeMy WebLinkAbout0158783-HVAC (furnace & a/c) � CITY OF OSHKOSH No 158783
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1188 APPLE CT Owner CHERYL L HUBER _ __ Create Date 11/15/2013
Contractor MARTENS HEATING&COOLING __ Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓�Gas ' Oil Electric __' Solar Solid
System ❑ New _� �✓ Replace � � Other I
✓ Forced Air ' Radiant Q Steam ✓ A/C _ Vent �
Electric Hot Water Suppl. Con. Burner ',
Chimney Type Chimney A 0 Chimney B 0 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 and A/C �
of Work ;
**debit acct*`
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Fees: Valuation $4,711.00 Plan Approval $0.00 PermitFee Paid $94.00
Issued By: �, Date 11/15/2013
� Permit Voided �I Parcel Id#1323690000
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 specifed 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.
11/15/2013 12:53 9206850490 MARTENS HEATING PAGE 01/01
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P.O.Box l 130
0�lilcosh,WI54903-1 1 3 0 �
��one(920)236-SO50
Fa�t (920)236-5084
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HVAC PERl1��7' APPLFC�tT�OW
All iaforma��a aftex bold caugcsries must be provided.
T.ncoraplet�a��plicarions will not be processed.
•� Application(s)and fee(s)can be brought to City Hall,Roozn 205 vr mailed to Inspection Services,PO Box 1128,
� Qshkosh WI 54903-1128. Commencing work without�ermit(s)wiIi result in fees bemg ctoubled or 5100.00 plu.a the
' z�azmal pezmit f�,whicb ever�is grcater.
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�S �Y�EING L�NEA:�l�To�Yes ,LINER STZE &1�+iANTTF
. AC_Tf_TRFR
No�e:All clv�eys shall be sized per thc BTU's being vented. � .
� TYPE ❑C�i�rruCy A ❑ChiIImey S �Dxrect VesUr G]Othei
�AT LOSS �As A,pproved .xisting C1Not Applica�e
: B'�[1 RATE �As Pe�c plaz� C7Variable ClOther Va1ue
D CRIP�TON O�ALL�O�BEIl'�1G DONE al'na�—P _-� � -P d I/.l.P /1�...� :
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EL CTRIGAL CON',l'�tA(,�'U.R � LI�lectric Innstafiation Vcrif�attiem.form attached(If Reptacemenc)
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