HomeMy WebLinkAbout0158868-HVAC (furance) � CITY OF OSHKOSH No �5sssa
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 906 E NEW YORK AVE Owner NATHAN/DEANNA L HUNTLEY Create Date 11/18/2013
Contractor MARTENS HEATING&COOLING_ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel �/ Gas Oil � Electric_� Solar �' Solid �
System � New ! �✓ Replace _ ' � Other
�/ Forced Air ' Radiant Steam _� A/C ' �Vent �
�
Electric j Hot Water Suppl. Con. Bumer I
Chimney Type Chimney A _ � Chimney B _ 0 Direct Vent � Not Applicable 1 .
Heat Loss As Approved 0 Existing � Not Applicable I Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature 'SFR/replacing furnace'*'LATE FEE ADDED FOR WORK DONE WITHOUT A PERMIT"* �
of Work
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Fees: Valuation $2,077.00 Plan Approval $0.00 Permit Fee Paid $162.00
Issued By: �� Date 11/21/2013
❑ Permit Voided I Parcel Id#1510010000
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.
City of Oshkosh
Division of Inspection Services � �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 0��..��(OSu
�� i t
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicarions will not be processed.
• Application(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater. � �
OR
I�you are a contractor participatin�in the Permit fee Account Svstem and have adequate funds check here
if vou want this processed through vour account n
DATE i a ti�v � 3 :
JOB ADDRESS � � at� /l/G�-�7 I f f�G/✓ti�' � r
���EIVED
OWNER/��I'Z-�/ �,(�/L � E N/YI � 1 L �
CONTRACTOR (� ��- �/ i�1� ��� 5�R �i� E 5 NOV 2 0 2013
CHECK H ALL APPLICABLE ��p�RTME:ti?OF
�0�117U1I'fy DEVELOP.ME:VT
iN5PECT10�SERVICES DI�'ISION
USE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
FUEL �`ias ❑Electric ❑Solid SYSTEM ONew �eplace
❑Oil �Solar ❑Other
TYPE
I�orced Air �Radiant ❑Steam[�'A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl.❑Con.Burner
IS CHIlVVINEY BEING LINED 1$�10 ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per•the BTU's being vented. •
CffiMNEY TYPE �Chimney A ❑Chimney B �Direct Vent ❑Other
HEAT LOSS ❑As Approved �Existing �Not Applicable
� BTU RATE ❑As Per Plan �'Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE K E P L�G L F�l��A G 6
VALUE (Including labor and all materials inciuding light fixtures) $ � , � �a. G�
ELECTRICAL CONTRACTOR/-�GT�G/V Fi �iEGT. OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical instnllation of new/replacement equipment shnll be done by licensed conrractors.
s/oz