HomeMy WebLinkAbout0159056-HVAC (furnace) � CITY OF OSHKOSH No 159056
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 641 MONROE ST Owner BROC T WATSON Create Date 12/13/2013
Contractor MARTENS HEATING&COOLING ____ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas �Oil Electric j Solar Solid !
--� —
System ❑ New ___� ✓ Replace I � Other
✓ Forced Air Radiant� Steam � A/C �! Vent �,
Electric Hot Water j Suppl. � Con.Burner
Chimney Type Chimney A 0 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
'"debit acct'*
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Fees: Valuation _ $1,900.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: � Date 12/13/2013
❑ Permit Voided I Parcel Id#0405510000
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 09:57 9206850490 MARTENS HEATING PAGE 01/01
City of Oshkosh
Division of Inspection Services
P.O.Box 1130 �
Os�ku�L,V1�I 54903-1130 ' �
P�onc(920)23f�5050
Fax (9z0)236-5084 �I �
�N rnE wn-rFR
HVAC PEfi��T �hPLI�CAT��N
,A11 ia#'ormation after bo�d categories must be provide�
Zuconxpacte a�plications wxli not be processed. �
;
•� Application(s)and fee(s)can be brought to City Hall,Rooct�205 or mailed to Tnspection Services,Pp Bax 1128,
; Oshkosh WI 54903-1128. Commemcir�g wozk�►�ithout pecmit(s)will res�lt in fe�s bcing doubled er$1(K)_()()rl»c thP
normal pennit fee,wbich cver is greater.
OR .
� u o racsoT r ' t 'n rhe Per»�it e c u r t e �e un ch�ck h r
i �� wa his roces @ our acc unt
I� � AATE Z. 13
J4B A,DDRESS , ���� �/ ; '
O�WNER ,/�., �
cbNr�a,cx�oR ►^� - ,
C'�EC�B(,4,LL APPLICA.�i��
U�. -CA.�GORY :
,.PlSi�agle Family ❑Aup1e� (�Mutlti-Family DR�ntal OCo�a�ercaal ❑Lnndustrial
�
FIJEL � ❑Elec�ic ❑Solid SYSTEM CINew �eplace
❑4i1 ❑Solsr ' CI'Othcr
�PE
,�vrcal.A.0 O�Ladiant OSteam DA/C�Ve�t �ElecQfe C7Hot Wa:er OSuppl.00on.B�uner
IS C,HAV�.N�Y l3�ING LIlVED,I�o�Yes -LItJER STZE &MANTTFAC.T[TRF.R
Note:A11 c}uixnneys sl�all be sized per t11e BTU's bezt�g ver�ted. � . . :
C.�TEY TYPE ❑Chxzimey A ❑Chimney B �D�irect Venz ❑O�er
H�AT LOSS DAs Approved ,,E'l�acisting QNot Apglicable
S'�`[J RATE �c Pe.r Plan (7Variable ❑�ther Valwe
DESCRIPTI4N OF ALL�U�BEFi�TG DONE---�P IQ,L�- f�LQ�-�
av
V,i4,LU�i (u►clqd�t►g la�or and�H�naterials inclading light fixtares) .��
k�EC'�'�CAL CONTRA,G"TOR ,U,� CJ Elertric iesa�lation weNf��fon forra auaetud�R�lac�nc�
' ElssYrlc�rl�ies�altat�ore ofnewh,�,laee,nent eqidp�xeru shal!D�daaa Dy l�c+wtsed con�mcto►x
3/02