HomeMy WebLinkAbout0158903-HVAC (furance & chimney liner) � CITY OF OSHKOSH No 158903
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 816 W 6TH AVE Owner KRISTOPHER R WILLIAMS Create Date 11/25/2013
Contractor MARTENS HEATING&COOLING _ _ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Q Gas I Oil _ �, Electric_ j Solar � Solid '
System Q New ; �✓ Replace __� � Other _J
✓ Forced Air Q Radiant � Steam j A/C � Vent
Electric � Hot Water J Suppl. Con. Burner I
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable j
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 and install chimney liner –�
of Work ,
'debit acct*' li
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Fees: Vafuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �wl. Date 11/26/2013
❑ Permit Voided � Parcel Id#0604220000
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.
11/22/2013 14:08 9206850490 MARTENS HEATING PAC� 01/01
ty of Osl�lcosb
�v�sion of Lnspection Services
P�O.Box 1130
O�Shlcosh,WI 54903-1130 �
P�one(920)236-5050 � �
F�ax (920)236-5084
ON TME WA7�R
HV�1C P�ER�I�T APPLIC�1T��t�J
A11 iu�formatio�after bold categazaes must be provided.
Incomplete applications will not be processed.
� Application(s)and fee(s) can Ue brought to City k�all,�toozr�;205 or mailed to Inspecaon Services,PO Box 1128,
Oshlcoeh vvI 5a903-1 az8, Comrnencins woxk without perr�iit(s)will resul�in fees lxix�g doubled or$100.00 plus the
nomnal pe�it fee,wl�aich ever is greatec. �
OR � .
r a nr a r ' ar' 'n the Permit e c�c te and have de u t h
i ou t is oces ed o unt
pa�7rE 2� 13
J B ADD �
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C NTRACTOR .
CK�ALL APP'LXCA.�I,E
US AZ'EGORY
Single Fa�ily ODuplex �Multi-Family QReutal ❑Comm.ercia� ❑Industrial
L �as �Electric ❑Solid SXS�'E�VI CINew �'cplace
❑Oil �Sotar �4rher
orced A.ir ORadiant CISt�am ClA✓C f�Vent�Electric QHot�Va=er QSuppI.00on.Bw�ner
I �. �
�9 CH�IV�NE�.'BE�I�TG LINE�.QNo�es -LI�1ER SZZE 3 � 3� &MAl�I"CTFACT[7I�ER� U :
�t�,te:A,al chimn shall be sized the BTU's bein vented. • . .
� P� . �
C'ffiIVIlVEY TYPE ❑Chirriney A ❑Chimney$ ��a•ect Vent L]Uther
�AT LOSS C�As Approved �xisting �Not Applicable
B�'LJ RATE �s Pcr Plau OVaniable ❑Other Value
DT�SC'RIPTiON OF aL �VO�tK BE�N DONE � _(y/��L,L�. ..._T i ti5 T� II
,
K - - -
1 _... -. . - .
V�LT.E(Iacindrn�la�or and at� m�terials ipiclnding li�ht fixtares) 4 S� d-��
E�.EC'�'�,tICAL CO�t'�.tACTOR OR ❑Electrfe InSk:tHatfon VerifieattotE forttl attached(tf Replaeemm+i)
EJecnieol rlutedlation of nsw/rq�lacemsne Bqv(,pment sha11 b¢dene by 1lcensed conuxc�ors
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