HomeMy WebLinkAbout0158863-HVAC (furance) � CITY OF OSHKOSH No 158863
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 816 W 12TH AVE Owner ANNABELLE JANKE LIVING TRUST Create Date 11/21/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas I [�Oil 1 Electric Solar Solid
System ❑ New J �✓ Replace __�' �Other '
✓ Forced Air �Radiant � Steam � A/C ' Vent
Electric �i Hot Water __� Suppl. � Q Con. Burner '�
Chimney Type p Chimney A � Chimney B � Direct Vent 0 Not Applicable I
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate �As Per Plan � Variable � Other � Value
Use/Nature SFR/Fumace replacement
of Work i
I
' -- - -------- ------ ,
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
issued By: Date 11/21l2013
� Permit Voided I Parcel Id#1303330100
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
Agent/Owner
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.
11/18/2013 12:32 9206850490 MARTENS HEATING PAGE 01/01
, i� .
Ciry of Oshkosh
D'ivision of Inspecbon Sezv�ices �
P;d.Box]130
O�^..hko3h,WY 54903-1110 �
P�one(920)236-5054 .
F2k (920)236-5084 ��I H
pN THE W/17FR
' HVAC P�1��1" APPLI�Cr�hT�t�N
All i�oz�ation after bold cate�ozies m�nst be pmvided,
Incoraptete applicaiions w�not be processed.
•� Applicatirn�,(s)and�ee(s)can be brought to City FIall,Room 205 or m,ailed to�nspection Services,PO Box 1�28,
; Oshkosh WI 54903-1128. Co�otmencing work w�it�out permit(s)w�fl rec�h;n, ;f�es beiag d�oublcd or$10�0.00 plus the
� normal pennit fce,w�icb cver is greatcr.
' OR , .
� ou are a o racr artic� ri in th it 1_Svstem and have adeguate funds check here
!,�iv�u want th:s processed throue,�y�rur account ,
;� •
'� D�,x� 3
JbB ABDRESS�� .�/l.� - - �{'�.
v
O�WI�TER
CONT�tACTOR �,
C�CK H AL�.A�PPLICA,��.E
Ti,CF CA.�'EGQRX
,�mgle Family C]I?uplex �Multi-Family DRen.tal OCa�mercia] ❑Indaistnial
i �
��� � C]El�c�4ic ❑Solid SYSTEM C7New ,�Q�eplace
i' ❑(�'il ❑Solar OOthcr
E
�orced Air�zta.diaut 03tcam C]�q,/C D�ent DElectric �Hot Wate:r DS �,Q{;on.BurAeei
13PP
IS C�Il1iEY B.�ING L�TED,Cd�o C3Yes -Li1�ER ST7_F. Bc I�LANUFAC'�'fJRER
Note:,A,11 chimneys sha�]be sized per the BN's being�venited. � .
; !
C�VIIVEY TYPE DChixnney A OChim�ey B f�i'S3ircct Vent pUther
H�A'�'LOSS DAs Appzovcd ��c�isting C1Not A.pp�icable
��� �� �,�#,G Per Plan ❑Variable Obther Value
AESCRIPTION OF A,�.L WO�K BEIl�TG AONE � f '�' �
�
VA�LJE(Including la�or and alf materiats iaclud�la�g light f�tnreg)$_�, Z��. � �
EL�GTRICAL C0�1�1TRAC?OR O.� fJ Electric insta11at1vn Weri&catlan for��tt�ched(1fRcplaemxng
El�CI►iCQI iruta!latfon of n�w/rsplQt¢dferrt eqnipm¢nf Shell Ee do►te by!lcenssd catlractors
3/0�