HomeMy WebLinkAbout0099439-HVAC (2 boilers)OSHKOSH
ON THE WATER
.lob Address 50 PEARL AVE
Contractor MARX MECHANICAL LLC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner M & I CENTRAL STATE BANK
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99439
01/13/2003
Other
Vent J
Use/Nature COMM/Replace hot water boiler with 2 = Well McLain BG680WF.
of Work
Fees: Valuation
Issued By:
$16,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$218.00
Date 01/13/2003
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 in~eCtion ~ServiCes ' ..... ·
P.O. Box 1130
OshkoSh, WI 54903L1130
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 $100.00 plus the
normal permit fee, which ever is greater.
If you are a contractor participating in the Permit fee Account System and have adequate .funds, check here
(f you want this processed through your account [~
Jos o ss Tx-tcu
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
I-1Single Family ElDuplex
I-1Multi-Family
F1Rental
FUEL l~as .... nElectric F1Solid SYSTEM
..... [3Oil F1Solar ·
TYPE
F1Forced Air ZlRadiant glSteam [3A/C ZlVent U1Electric
RECEIVED
JAN l 5 20q.-~
DEPARTMENT OF
CO~'I~UNtT¥ DEVELOP~'~ENT
[~Commercial Ellndustrial
[3New [33Replace
F1Other
[3Hot Water [2]Suppl. [3Con. Burner
IS CHIMNEY BEING LINED [3No [3Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
&MANUFACTURER
CHIMNEY TYPE F1Chimney A [_]Chimney B
ItEAT LOSS .. [-3As Approved ElExist/ng
BTU RATE E]As Per Plan EIvariable
[3Direct vent
[3Not Applicable
FIOther Value
E]Other
DESCRIPTION Or ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
~ .;
ELECTRICAL CONTRACTOR_ ~(.~%~ ~C~[
[] For applicable projects, a,n Electric Installation Verification fbrm, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02