HomeMy WebLinkAbout0099151-HVAC CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
OSHKOSH
ON THE WATER
Job Address 600 W PACKER AVE Owner RCDD
Contractor MARX MECHANICAL LLC Category 502 - Residential-Both ~
Fuel ~ Gas I ~ Oil I L~ Electric I M Solar
System [] New I [] Replace I
L-] Forced Air J ~j Radiant J ~_J Steam f ~J NC I
U Electric I U Hot Water I L~ Suppl. I U Con. Burner f
Chimney Type ~ Chimney A (.~ Chimney B ~.~ Direct Vent O Not Applicable I
Heat Loss ~ As Approved (...~ Existing ~1 Not Applicable I Value
BTU Rate ~.~ As Per Plan (,~ Variable ~ Other I Value
No 99'15'1
Create Date 12/19/2002
plan
l~ Solid
[] Other
Vent I
Use/NatUre
of Work
tMULTI-FAMILY/ RENTAL/ Disconnect, move & re-install 8 a/c units. Install one electric baseboard heater in the vestibule.
Fees: Valuation $790.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided
$20.00
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
Address
4535 STATE ROAD 91
Agent/Owner
OSHKOSH WI 54904 -6304 Telephone Number
(920) 235-6510
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 5490371130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All in£o~don after bold categories must be provided.
Incomplete applications wil! not be processed.
OIHKOIH
ON THE WATER
APplication(s) and fee(s) can be brought to Ci~ Hall, Room 205 or mailed to Inspection Services, PO Box ! 128,
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
I_£you are a contractor participating in the Permit £ee Account System and have adequate £unds, check here
if you want this processed through your account
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
F1 Single Family F1DuPlex
~Multi-Family
[] Rental [] Commercial [] Industrial
FUEL FIGas IqElectric F1Solid SYSTEM FqNew, F-1Replace
[]Oil nSolar []Other
TYPE
F1Forced Air []Radiant ElSteam F1A/C F1Vent F1Electric []]Hot Water []Suppl. FlCon. Burner
IS CHIMNEY BEING LINED F1No i'tYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE FqChimney A []Chimney B
HEAT LOSS F1As Approved F1Existing
BTU RATE []As Per Plan F1Variable
& MANUFACTURER
~Direct Vent
F1Not Applicable
F1Other Value
~Other
VALUE (Including labor and all materials including light fixtures) $ 7 q 0 y
ELECTRICAL CONTRACTOR ObJl~td 0 udd "'
[] For applicable projects, ~.n Electric I~stallation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02