HomeMy WebLinkAbout0158170-HVAC (furnace & ductwork modifications) + � CITY OF OSHKOSH �ss��o
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ',� oiCt-g�3
ON THE WATER 4�j�
Job Address 55 BOWEN ST Owner MORRIS/JEANNE GABERT Create Date 10/09/2013
Contractor MARTENS HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil � Electric Solar Solid
System New I �✓ Replace I Other I
✓ Forced Air Radiant Steam � A/C Vent �
Electric Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan 0 Variable � Other � Value
Use/Nature FR/INSTALL FURNACE,CHIMNEY LINER AND DUCTWORK MODIFICATIONS "debit acct
of Work , 1
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Fees: Valuation __ $3,500.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �(� Date 10/09/2013
❑ Permit Voided I Parcel Id#0805990000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date '
AgenUOwner
Address PO BOX 514 OMRO WI 54963 -514 Telephone Number 920-685-0111
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is�eceived. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/09/2013 11:17 9206850490 MARTENS HEATING PAGE 01/01
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c� of osnkos�
Di�Yision o�Inspection Services � .
�.d.Box a�a 30 � �
Qs�Jcosh,VVI 54903-�130
Phbne(920)236-5050 O �
Fa�c (920)236-5084
ON TME wnTER
' HVAC PE#�Vl1'T aPPLIC,�kT���l
All in�orasQtion after bold categories ma�st be provided. :
tncomplece applications will mot be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to lnspection Services,PO Box 1�28,
Oshkosh� 54903-�12$. Commencing work without pexmit(s)will result in f�ees bcia�doubled or$�OO.bO plus the
notmal pennit fee,which ever is greater.
OR •
ou are a co acsor 'c' ati 'n th er ' e Ac unt S em a i�ave de u un heck here
if�vou.want thi r cessed r u r ac unt
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J B ADrD SS �� GJ�-
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OWNER �
CON'�'RAC'�'OR /' S
�CK BI ALL APPL�CABLF .
USE �'EGORX
mgle Fatnily �Du�lex ❑Mult�-Family DRental �Co�naercial ❑Industrial
.. iFi. �OUa I7Elec�ic C]Solid SXSTEM C]New �lace
❑Oi] C]Solar ���
E
orced Air ClRadiant OSt�ann C1A/C DVent OEiectric �Iiot Water QS�pp1.L7Car�.Burner
I9 CHA�iEY BE�TG LINED;L7No� -LINER��GE ��&1�.4.NiJFACTU�tER� '�' �'P�
Nbte:�1.1 chimneys st�]1 be sizcd per�e BTU's being vented. � . , ,
C��1'IlVEY xXPE OChimney A ❑��?'mney B 17'D�rect v�nt ❑Otber
H�AT LOS�S ❑ Approved .BEustimg Cl�iot Applicable
B�'U RATE �Pe�r Pla� C]Vaziable ❑Other va�ue
A�SCRIPT� �1 OF WORK BEIl�TG AONE � L� r�
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L1T(�nclndfn�labar snd all matettials including lig1►t�tures)� �. ���� ��
G"�tiCA,L CO1rTT'RA,CTOR OR C��lectrlc Instal�aiien Verifcx�ton form�ttachcd�if R�1■cemeru)
E!¢crrical l�crallation of new/rspiecerne++i sq+dpme+ir shal!ba done Dy ltcensed conrrncWrs
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