HomeMy WebLinkAbout0158877-HVAC (furnace) � CITY OF OSHKOSH No 158877
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1628 LIBERTY ST Owner ADELBERT J GEORGE Create Date 11/2V2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
inspector John Zarate
Fuel ✓Q Gas ' Q Oil � Electric Solar �' Solid
System �New ' ✓ Replace _ � Other
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Forced Air Radiant Steam � A/C Vent
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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/replace furnace �
of Work j !
**debit acct'* '
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Fees: Vatuation $1,896.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �� Date 11/21/2013
� Permit Voided �i Parcei Id#1207810000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 514 OMRO WI 54963 -514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specifed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/21/2013 15:39 9206850490 MARTENS HEATING PAGE 01/01
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iry of Osl�kosh
I�ivision of Inrpection Sezvices �
�0.Box 1130 �
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F�x (920)236-5084 !�--
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ON TME WATER
Hv�c P��� ��u�c�r��
All in�'ormatioz�aftez bold categories must be pmvided
Incomplete applica�ons wi11 not be ptocessed.
� A,pplication(s)and fee(s)can be broug�t to City Hall,Rooax 205 or mai�ed to Inspectzan Services,PO Box 1128,
Os}akosh WI 54903-1128. Commencing work without pernoit(s)will result in:fees bei�g doubled ar$l Ot1.(Nl pI»a tb�
normal permit fee,wbuich ever is greater.
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C�H ALL APpLICABLE
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, ingle Family C1Duplex Olbl�lti-Family �Rental OConc�m�rcia� ❑Industrial
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�orccd Air ORadi�an�t DS�cssrr�DA✓C t]Vent OE'lecaic ❑�ot�ater OS�p1.�Coz�.BurneT
IS CHIlI�INEY BE�TG LINED�Go C:�Yes -LINER SIZE &MAN'T.]F.AC_'TfJRER
N e:All chimoeys ahall be si�ed peT thC BTU's beiz�g•veuted. • .
�Y T1�� ❑Chirrur�cy A OCF►iumcy$ �rect Venx C.70Lher . . :
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H�AT LOSS ❑,A,s App�oved DExistu►g L7Not Applicable
��7�TE �A.s�e7r Plan OVariable DOther Va]ue
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A� SCRIPTION OF A,LL R�03t2�BEIl�TG DpNE �
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V�UE(Includ#ng labor and a11 znatexiais incladi li ht fnet��s • �
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