HomeMy WebLinkAbout0099150-HVAC (ductwork/gas piping)OSHKOSH
ON THE WATER
Job Address 2521 BOWEN ST
Contractor MARX MECHANICAL LLC
Fuel U Gas I
System [] New
Forced Air j
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
LJ Electric
Chimney Type ~ ChimneyA
HeatLoss ~.~ As Approved
BTU Rate ~ As Per Plan
Owner MAGNA COAT
L~ Hot Water
Category
510 - Ind. & Comm-Heating & Ventilating
b~ Oil I b~ ElectricI ~ Solar
I [] Replace I
~ Radiant I I-J Steam I I--I NC t
I U Suppl. I ~Con. Bumer ~
Chimney B (~ Direct Vent O Not Applicable I
(.~ Existing ~11 Not Applicable I Value
~ Variable ~ Other I Value
No 99150
Create Date 08/21/2000
Plan
t [] Solid 1
[] Other [
[_~ Vent
Use/Nature COMM/Ductwork & gas piping.
of Work
Fees: Valuation
Issued By: ~.~/~
$2,125.08 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided I
$38.00
Date 12/19/2002
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
O/HKO/H
ON THE WATER
HVAC PERMIT APPLICATION
All information 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 $t00.00 plus the
normal permit fee, w~ich ever is greater.
OR
If you are a contractor participatinx in the Permit fee Account S.vstem and have adequat2~~, check here
/£ !;ou want this processed through ~our account
CONT~CTOR [O~ ,~,/O~
C~CK ~ ~L APPLICABLE
USE CATEGORY
nSingle Family mDuplex
V1Multi-Family
l-lRental ~lCommercial I-1Industrial
FUEL E]Gas F1Electric []Solid SYSTEM F1New []Replace
mOil []Solar iiSOther
TYPE
FIForced Air VIRadiant V1Steam FIA/C V1Vent V1Electric V1Hot Water []Suppl.
[]Con. Burner
IS CHIMNEY BEING LINED F1No V1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE E]Chitrmey A V1Chimney B []Direct Vent
HEAT LOSS []As Approved [E]Existing []Not Applicable
BTU RATE []AS Per P1an F1Variable V1Other Value
DESCRIPTION OF ALL WORK BEING DONE ~)~01~1~. ~
V1Other
VALUE (Including labor and all materials including light fixtures) $ ji ~' 0~
ELECTRICAL CONTRACTOR
[3 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