HomeMy WebLinkAbout0107433-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1621 OHIO ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RICHARD/PATRICI MILLER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
107433
04/15/2004
Other
Vent J
Use/Nature Replacing the boiler. *EIV submitted by Beez Elec
of Work
Fees: Valuation
Issued By:
$2,400.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$41.00
Date 04/15/2004
Parcel Id # 1302350000
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 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number
920-235-6510
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.
521 W. 12th ~.~_h. WI 54902
have been ¢ontr~"ted t~ ~ peffonm clectnc m~tal at-ion work for ~ S_erv~e_e~.
m
~t the follow~'~g addre~: t67.1 Ohio Street.
[ .
The nature of th~ wOrh coasts of: (Ch~k One or D~fibe lhe Nature of Work)
~e~n or n~w ~t for r~ia~m H~ F~t ~/or ~C Condense,
~om~i~n or ~ew ~ for t~l~emnt ~le~fio Wat~ ~tet.
li~g fi~es due ~o siding / ~o~t h~atio~. Nora: N~ S~ce En~ee Cable~
~ ~m.e~{O~ or new ~rmit for other pe~mtly v~red
The vslue of~s wor~ is
I hereby vui~y ~ we = '~ be p~m~m~d by an em~loy~ of ffis comps, md ~her v~[~ ~e
~onne~n / atlon ~1 be done in mmpli~ce ~ ~c~r~ ~d El~e code
~~ ~ G~..Biesi~er
~ r . 94/o8/m
(Si~a~ of Comply
'1