HomeMy WebLinkAbout0103404-HVACOSHKOSH
ON THE WATER
.lob Address 775WEATHERSTONE DR
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MIKE BEAMAN
Category 502- Residential-Both
Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
103404
05/20/2003
Other ]
Vent
Use/Nature NSFR/ Install HVAC system in new house (100m btu unpiut furnace & 3.Eton A/C).
of Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $95.00
Issued By: Date 08/08/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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.
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.
~ity of Oshkosh
Division. 9.f Inspection Se~wices
P.O. Box 1130
Osl~osh, WI 54903-t 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLIC 6 DEVE[OPMENT
All infom~tion after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, wNch ever is greater.
7_f vou are a contractor participating in the Permit fee Account System and have adequate f~nds, check here
if you want this processed through your account ~
CIt]ECK li~ ALL APPLICABLE
USE CATEGORY
l~ingle Fmnily ~Dnplex
UIMulti-Famity FIRental
F1Corrm~ercial
~Industrial
FUEL l~[Gas ~,Electric []Solid SYSTEM I~ew []Replace
FtOil [qSolar U1Other
TYPE
l~lForced Air FJRadiant UlSteam [~I,~'C [qVent ~Electric ITlHot Water IDSuppl. [qCon. Burner
IS CI{IMN~Y BEING LINED ~No DYes - LINBR SIZE
Note: All chilmleys shall be sized per the BTU's being vented.
& MANLFFACTURER
CItlMNrEy TYPE
Il]gAT LOSS . ,
B'I'U RATE
~Chinmey A DChhrmey B i-lDirect Vent DOther
[]]As Approved ~lExisting [21Not Applicable
UAs Per Plan UtVariublc ~Other Value
DESCR1PTIONOFALLWO'I~C~BEING1)ONE tN~-~..- ~J~ SqgTt! tM
Onel.d!ng labor and all ~aterials including light fixtures) $ 0 000 ,~
For appli6aBie projecls, an Elect-lc h~stallation VeriEcation form, si~aed by flae Electrical Contractor, must be
a~ached. If not a~ached or not applicable, a sepm-ate Electrical Permit is required.
s/o2