HomeMy WebLinkAbout0159060-HVAC (furnace) � CITY OF OSHKOSH No 159060
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2248 W 9TH AVE _ Owner TIM P/LISA A CELICHOWSKI Create Date 12/13/2013
Contractor MARTENS HEATING&COOLING __ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuei ✓ Gas � Oil_ � Electric � Solar �' Solid �
System Q New _� �✓ Replace ' Other _
✓ Forced Air i Radiant Steam ' A/C ' Vent I
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 fumace - —�
of Work �
'debit accY'
�
I i
-- — -- -- --- J
Fees: Valuation $3,427.00 Pian Approval $0.00 PermitFee Paid $78.00
Issued By: �1�/- Date 12/13/2013
� Permit Voided ', Parcel Id#0613710300
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.
12/13/2013 11:39 9206850490 MARTENS HEATING PAC� 01/01
City of Oahkosh
Division of�nspcction Sezviccs �
k'.0.Dox 1130. �
Oshkosh,WI54903-1130 :
Phone(920)23C�5050
Fax (920)236-SOx4 ; ���
vN rHe w�rER
� HVAC PEf��J11T APPLICA����N
All infozmation a�x bo�d categories mpst be providecL
Incomplete applicarions will not be processed.
• Applieation(s)and fec(s)caza be brought to City kxall,Room 205 or na�aa�ed to�n,speetion Sczvaces,PO Box 1128,
;Oshkosh Wl 54903�1]28. Comme�lcing wozk without petmit(s)wi11 t�slt in fees bcing doubl�d or$1Q0_00 pluc the
norma]pernrit fee,which ever is geater. '
� OR �
�f�ou are a contrac_t r nartictpatin¢.in th Permit fee Accnu�t Svstem and have adequate fu�ds._�ck here
i ou wa t this o e@d thro � ur ac un.t
nA� Z
JO�ADDRESS �2 v
(1WI�TER . � � '
CONTYtAC'�OR � �
,
C�CK Bf A,LL APPI.ICA�LE �
US'F CA,'�'EGORY '
I�tngle Famii,ly ClDuplex ❑Multi-Family �Rental C7Com�n�rci�l OTx�dust�iai
�L �C`ras OElecuic OSolid SY�� ��' ���a�
'pOil ❑5oiar �Uther
xXPE -
�Fozced Air�Radiant C7Steam❑AJC dVent��t�ctnic[]I3ot Water OS�xppL�Con.Burner
IS C�AVINEY B�ING LINED;�To C3Yes -Lll'�IER SIZE 8c MANC�'.P►G"TURER
Notc:All cbi�mneys shall be sizcd per the BN's being vrated. � � �
CHIl1�Y TYPE ❑Chimney,A ❑Ck�imney B �irect Vent ❑Othcr
�A,T LOSS �As.A,pp�roved �xisting C�Not A�plicab�e
B'�;'V gATE �s�er plan OVariable l7t)ther Value
DES(.1i.�YT10N U�'A�L WQR�.BEING DO����P �•�� �-�.�—
V�,TJE(Includ�ng 19ber and all tnateriats including light ftxtut�es)$ ✓��� �
FLEC'rR.�CAL CONTRA,CTOR D:� ❑ Electric insm11at9vn Verit'�cadan form�tcachedpf Repl.c�r�c)
Eledrfea!Ins�allutfon of newhrylaeernon eqaPn�¢++r she11 be dene Dy ltcoued contrac�ors
3/02