HomeMy WebLinkAbout0105089-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1219 ALGOMA BLVD
Contractor MARTENS HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner STEVEN P/LYNETT THOMA
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105089
10/31/2003
Other
Vent J
Use/Nature SFR/Replace boiler with 90% PVC vented model & indirect water heater.
of Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$95.00
Date 10/31/2003
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
Agent/Owner
Address P.O. BOX 106 WAUKAU WI 54980 - 106 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.
Cfity of O.ql~kosh
D~vision of Inspection Services
?~O. Box 1130
O~os~ WI 54903d 130
Pho~ (920) 236-50~0
Fax (920) 236-5084
OCT 5 i 200,
Imm~lete ~pl~afiom ~ not be Proee~sed~~ ~c[UF~T
· A~lieadon(s) ~d f,e(s) e~ be brought to Ciw Hall, Room 205 or ~led to Bspecfi~ S~ees, PO Box 1128,
Os~osh WI 54903-1128. Commencing w~k without pennit(s) will mm~k in :~ ~g doubled or $t00.00 plus ~e
no~al pen~t fee, which ever is ~em~.
OR
~d ~q~e a contr~artic~ ~h~ p~ccoun, t..~*~em an.d have a~ua~ funds, check her~
CItECK ~ ALL APPLICABLE
USE CATEGO~R¥
~[Single Farrdly DDuplex
FUEL
LqOil
E1Muld-Family ~Rental
IZlElectric [3Solid SYSTEM
12 8olaf
ElComm,rcial Fllndustrial
12Replace
TYPE
~Fca'ced Aix-~Radimt tZ1Steam EIA/C glVent ~El~c' Elliot Water ~Sappl. D'Con. Bum~
IS C~Y BErG LI~B ~o ~Yes ~ L~R S~E & MA~FAC~R
Note: All chi~m~eys sha~ be sized ~r ~e B~'s being vented.
C~MNEY T~E DChi~mey A ~Chim~,ey B ~Diree~ Vent ~O~er
~AT LOSS ~As Approved ~Existing ~Not Appl~oable
B~J RATE ~As Per PI~ ~Variable ~Other Value
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