HomeMy WebLinkAbout2002-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
424 WASHINGTON AVE
MARX MECHANICAL LLC
L~J Gas I
--~ New
Forced Air j
Electric
~ Chimney A
~ As Approved
E) As Per Plan
Owner
Category
RESIDENTIAL SERVICE MANAGEMENT
510 - Ind. & Comm-Heating & Ventilating
[~ Oil I ~ Electric [~ Solar
[] Replace
L-J Radiant [_J Steam I L--J NC
LJ Hot Water U Suppl. I U Con. Burner
Chimney a ~ Direct Vent O Not Applicable
O Existing O Not Applicable I Value
~.~ Variable ~ Other I Value
No 99097
Create Date 12/13/2002
Plan
~- Solid
[] Other
L~ Vent
0
Use/Nature
of Work
fffices/
Install registers, ductwork & clean existing Lennox furnace.
Fees: Valuation
Issued By: .~.
$1,926.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$35.00
Date 12/16/2002
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'~4903C i
PhoneFax (920)236250§4
RECEIVED
~ ~ i DEVELOPMENT
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can b6 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 contracto'~ partici'p~t;'ng in :the P~)mi.t fee Account ~stem and have adequate funds check here
if you want this processed through your account [--]
JOB ADDRESS
CItECK El~L APPLICABLE
USE CATEGORY
nSingle Family mDuplex
[2Multi-Family
F1Rental B2ifommercial Fllndustrial
FUEL [2Gas F'lElectric r-tSolid SYSTEM
[Oil F1Solar
TYPE
[Sh~rced Air F1Radiant []Steam BA/C [3Vent nE!ectric
nNew [Replace
B]Other
allot Water []Supp!. LlCon. Burner
IS CHIMNEY BEING LINED [3No [5]'Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's beh~g vented.
& MANUFACTURER
CHIMNEY TYPE nChinmey A FIChimney B
HEAT LOSS nAs Approved FIExisting
BTU RATE _ lAs Per Plan []Variable
[]Direct Vent
IDNot Applicable
[3Other Value
[] Other
DESCRIPTION OF ALL WORK BEING DONE
YALUE (Including labor and all materials includin8 light fixtures) $ / 9e~&, O0
ELECTRI~CONTRACTOR UMg. d,,lOt.,dt, J ~ [~ftd OI. clM~YL- . ...........
~For ~P~i~a'able projects, an Electric Installation Verification form, signed by the Electrical
cant~aato~, must be
attached. If not attached or not applicable, a separate Electrical Permit is required. · !::
9/02