HomeMy WebLinkAbout0110088 HOSHKOSH
ON THE WATER
.lob Address 2485 WISCONSIN ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner DAVID / SIGNE NELSON
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~) Direct Vent O Not Applicable I
~) Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
110088
08/19/2004
Other
Vent J
Use/Nature SFR/Extend ductwork for basement remodeling
of Work
Fees: Valuation
Issued By:
$910.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$20.00
Date 08/19/2004
Parcel Id #
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.
~U~.16.~00~ 12:0~PM NI-ZKE EWECTRIC MO.?lO P.1
Electric Installation Verification
(Electrlcal C ontra~tor Name)
~ve been ~n~cted to p~fom elec~c in~l~tio~ work for ~ ~/~ ,
' ' (~&~s~wh~e work w~ be
The m~U~re of thc work comists of: (Chock One or Describe the Nature of Work)
~Reeomecfion or n~ oim~ ~r ~lacmmt HeatNg P~t m~or MC Condoner,
Recreation or n~ cim~il for r~l~mont glm~c Wat~ H~at~ or pow~ vented
water
R,oo~c~on of ~c Se~ico En~ce C~l~, M~ter Box, dterafiom to
md ~ r~*z due to d&ng/soffit ~s~llafion. Note: ~ S~ice
E~ce CabI~ ~11 requ~ · sep~a~ p~mit,
~eco~ec~on or n~ cim~ for ~e r~l~ement of other p~tly ~red
a~li~ces /
....... ~ circ~t for ~e edition of ~C to ~ indi~dual dwelfing
in~vidu~ zye~mz ~ a dupl~ or mn~m~um), inclu~ required
~l~ffi~ outl~s.
O~er
The value o£thls work is ~ / ~ ~
I h~reby verify this work will be per~rmed by an employee of this :ompauy ~nd Fm'~her verify'
the re~onnec~ion / i~tallariou will bo done in compliance with manu~cl',,lrer and El¢clric code
requirements.
($i~naLure 0£ Coml~my
(Pr/hr Nnrn~ of Officer) (Date)