HomeMy WebLinkAbout0098973-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
220 E FERNAU AVE
MARX MECHANICAL LLC
CITY OF OSHKOSH
HVAC PERMIT- APPLICATION AND RECORD
~ Gas [ ~ Oil
[] New I
~d Forced Air I [.~ Radiant
[] Electric ] [] Hot Water
Chimney Type ~ ChimneyA O Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~.~ As Per Plan ~.~ Variable
Owner
Category
NORMAN C KNIEF
510 - Ind. & Comm-Heating & Ventilating
L~ Electric
[] Replace
[__j Steam
[] Suppl.
Solar
NC
Con. Burner
Direct Vent O Not Applicable I
O Not Applicable I Value
~ Other I Value
No 98973
Create Date 10/16/2002
Plan
i~ Solid
[] Other
Vent I
Use/Nature
of Work
IND/
Install 2 Infra Red Heaters in the new addition.
Fees: Valuation
Issued By:
$3,730.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$62.00
Date 12/06/2002
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
' Ci'ty of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903~1130
Phone (920) 236-5050
Fax (920) 236-5054
O/HKO/H
ON TIlE V,/AT~R
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can bd brought to City Halt, 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 Vou are a contractor participating in the Permit fee Account System and have adequate _funds, check here
if pou wart this processed through pour account
DATE
CONT CTOR ½ Irt UX0 C0d't
CHECK 1~ ALL APPLICABLE
USE CATEGORY
I'-]Single Family IZIDuplex
I--1Multi-Famity
IZIRental 52'~ommercial Fllndustrial
FUEL li2Gas F1Etectric I'qSolid SYSTEM
V1Oil []Solar
13]'few I-1Replace
[3Other
TYPE
[Forced Air ~1~adiant [_3Steam [3A/C F1Vent [3Electric
t_qHot Water []Suppl. [Con. Burner
IS CHIMNEY BEING LINED E3'N.'o ~Yes - LINER SL%E
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTUI¢ ER
CHIMNEY TYI'E ~Chi~rmey A IZlChinmey B []Direct Vent
HEAT LOSS [DAs Approved FlExisting FtNot Applicable
BTU ~TE DAs Per Plan ~Variable ~Other Value
[] Other
VALUE (Including labor and all materials including light fixtures} $ C30 ~.~0, ~)
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric lmstaltation Verification roma, signed by thc Electrical Contractor, must be
attached. If not a~Iachcd or not applicable, a separate Electrical Permit is required.
5/02