HomeMy WebLinkAbout0098449-HVAC (exhaust fan/fire damper/grilles)OSHKOSH
ON THE WATER
Job Address 100-106 HIGH AVE
Contractor MARX MECHANICAL LLC
Fuel L~ Gas I
System [] New
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CITY OF OSHKOSH
Category
510 - Ind. & Comm-Heating & Ventilating
No 98449
Create Date 11/06/2002
Plan
b~ Solid
[] Other
[~ Oil I ~ Electric I ~ Solar
[] Replace I
Forced Air j ~ Radiant I [J Steam ] [~ A/C I ~ Vent j
Electric I ~ Hot Water ~ ~ Suppl. I ~ Con. Burner ~
Chimney Type ~ Chimney A (.~ Chimney B (_~ Direct Vent ~11 Not Applicable I
Heat Loss ~ As Approved ~ Existing O Not Applicable I Value
BTU Rate ~ As Per Plan ~.~ Variable O Other I Value
Use/Nature
of Work
IhOaffM.M/100/ GRAND OPERA HOUSE/Install an inline exhaust fan
fire damper & transfer grilles for new elevator addition in the existing
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 11/06/2002
[] 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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON TI-ti WATI~R
· Application(s) and fee(s) can bd 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
.If you are a contractor participating in the Permit fee Account System and have adequate .funds, check here
~£ ¥ou want this processed through ):our account
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
l~single F~ii~ F'i~uPiex 1-1MUlti:F~ii~ FiRental
FUEL []Gas []Electric []Solid SYSTEM
[]Oil F1Solar
DATE I(~ ~0~ "-0 ~)-~ '
EIIndustrial~ x.X~
~Commercial
[]New FIReplace
[]Other
TYPE
nForced Air []RadiaIqt E-]Steam EIA/c 5~Vent E]Elech'ic ,rlHot Water []Suppl. riCoh. Burner
IS CHIMNEY BEING LINED ~No E]Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's l~eing vented.
& MANUFACTURER
C~H1MNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
E]Chimney B
E]Existing
E]Variable
[]Direct Vent
F1Not Applicable
[] Other Value
F1Other
DESCRIPT~[ON OF ALL WGRK BEING DONE
labor and ali material; ihCldding'light fix~h?s)'$ q000 ? ' . ..
ELECTRICAL CONTRACTOR
[] For applicable projeCts, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02