HomeMy WebLinkAbout0123796-HVAC (chimney liner)
o
OSHKOSH
ON THE WATER
Job Address 353 W 12TH AVE
CITY OF OSHKOSH
No
123796
HV AC PERMIT - APPLICATION AND RECORD
Owner WILLIAM C SCHLEICHER
Create Date 03/14/2007
Contractor MARX MECHANICAL
Fuel I I Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type . Chim ney A o Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate K:) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
o Direct Vent
U Solar I Solid
o Other
U AlC U Vent
I J Con. Burner
C) Not Applicable
() Not Applicable
. Other
Use/Nature SFR /INSTALL 3" CHIMNEY LINER FOR EXISTING EQUIPMENT
of Work
Value
Value
Fees: Valuation $300.00
Issued By: ~ kJ
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 03/14/2007
D Permit Voided I
Parcelld # 0903870000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address 4535 STATE ROAD 91
OSHKOSH
WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box J 130
Oshkosh, W15~903~1130
Phone (920) 236-5050
Fax (920) 236-5084
MAR \4 1OO7~
OJH~DJH
Ol'~ IHf Wf:ifJ1
HV AC PERMIT APPLlCA TION
All infoDl1atiol111fter boJd categories must be provided,
incomplete llppJicaiions will nol be processed.
. Application(s) and fe"e(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Osl~cosh WI 54903-1128. Commencing 'work without penl1it(s) will result in fees being doubled or $J 00.00 plus the
normal pennii fee, which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem 'and have adequate (unds. check here
if vou want this processed throuf!h vour account n
DATE J- \~-O'l
JOB ADdRESS ~s ~ W
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OWNER i INK <<\-- e:e.J~~\1
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CONT~CTOR MARX MECHANICAL INC
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S QM LF leA-tell
CHECK 0 ALL APPLICABLE
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USE CATEGORY
~Single Family DDup1ex o Multi-Family
[
o Relltal
DC01Illuercial
;
;
i
o Industrial
FUEL o Gas
, DOi1
DElectric 0 Solid
D801ar
SYSTEM
DNew
Jt;J Other
o Replace
TYPE !
DForced Air DRadiant D8team DAlC o Vent DElectric DHotWater DSuppl. DCon. Bumer
;
I ~
IS CHIMNEY BEING LINED DNo !jJYes - LINER SIZE ~ f/
Note: All c~linmeys shall be sized per the BTD's being vented.
i
CHIMNEY TYPE KJChinmey A DChimney B
HEAT LOSS DAs Approved ,B'JExisting
BTU RArE DAs Per Plan DVariable
DESCRll'TJON OF ALL\VORl( BEING DONE
JI'J S~ -3\1 C,HIMN'G'1 LII\Jet.. Pot- ~ ~r I/\Ie,.
I
!
I
VALUE bndUding ',boc ."d m,tu"J,) $ \.3:)0 ~
~L ' '
ELECTmCAL CONTRACTOR
q For alJplicable projects, an Electric Installation Verification form, signed by tbe Electrical Con1.raCt()r,Jl1Ust be
a~tacbed, If not attached or not applicable, a separate Electrical Permit is required.
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!
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& MANUFACTURER ft..R'{..-L
DDirect Veut
DNot Applicable
o Other Value
o Other
tlHJl f.
10/04