HomeMy WebLinkAbout0158902-HVAC (furance) � CITY OF OSHKOSH No 158902
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2351 ASHLAND ST __ Owner GREGORY M BREWER/NICOLE E HENSC Create Date 11/21/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas '� Oil � Electric Solar � Solid j
System � New I ✓ Replace j Other j
✓ Forced Air Radiant Steam j A/C Vent '
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Electric �I Hot Water Suppl. Con. Burner i
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 __
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Use/Nature SFR/replace furnace --
of Work j
"debit acct"
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II
Fees: Valuation $2,500.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: �,Wv Date 11/26/2013
❑ Permit Voided j Parcel Id#1517440000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 514 OMRO WI 54963 -514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
11/20/2013 11:41 9206850490 MARTENS HEATING PAGE 01/01
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Ciry of o9hkosh
Divisian o£Unspectian Scrvices �
PA.Box 1130 �
Oshkosb,wI 5aso3-i i30
PT�one(920)236-5050
r� (920)23f�5084 � (
i ON 7HE WATER
, H�VAC PERl1�� APPLI��T#��I
� All ict£ormation after bold categories mnst be prov�idect
Xucomplete apptications will not be processed.
�i Applica�ion(s)and fee(s)can be bzaught to City Hatl,Room 205 ar mailed to Tnspection Services,PO Boz 1128,
� Oshkosh WI 54903-1128. Cammencitag work without peaait(s)will r���it in fEe�being doubled or$I00.00 plus the
� normal pezznit fee,which e�ver is greater.
� OR -
�vou a a c ntracto�' t' ' atin iN ih er�nit e unt S e and ha e de uat check here
i � u want tl�is oc d throu h o cc unt
DAT'E �
JbS ADD�tE�9
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CHECK �f,AI.L APPLICAST.E
US CA.'TEGORY
Single Fanouily �Du�lex OMulti-Fa�nuily C]RetataX C]Com.mercia� DIndu�atrial
Fi?EL �t�as ❑Electz�c ❑Solid SXS�'EM �Tew �lace
❑Oil ❑Solar � ��Oth�
'I'YP
, orced,A.0❑Radiant OStcam DA/C OVcnt❑El6ctric C7�Ioti�ater�S�pp1.00on.Bunaer
, �, �
�S CHININEY BE�7(�LIIVE� QNo r ca -L�ER SIZE�&MANLTFA . ! �f ,
N�,te:All chiz�eys shal]b¢siud per tbie��'[J's being ve�ated. � . . .
C�V�NEY TypE pCh;rrmey A ❑CFumney B ,H�ect Vent ❑Other
�:AT LOSS �As Appmved DExisting �ot A.pplicablc
$'�,'[J RATE ❑,As Fcr Plut� �VAtiable �Otl�ex Value
DTS 4N Clk'A7 T.R�f1�tK�T�P�1G DONE � l�tL �r�S �II
� �.1 1 ✓1 q C--�-�
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� �� � �r.)
V,ALUT(Includ�n�la�or aud'll rasterials iaclndi�g light fixtures)�� Y`
��C'����,C��1�'�A�Q� � ❑EIeCQ'ic iosiafla,tion Verif3dtt�on form attacAedElf Rrploecmcnq :
Elechite!installetion of new/rs,�/acenen��qutpnunt shel!be dwte by Tre�n.seA oon�raelors
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