HomeMy WebLinkAbout0099973-HVACOSHKOSH
ON THE WATER
.lob Address 215 CHURCH AVE
Contractor MARX MECHANICAL LLC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner CITY OF OSHKOSH
Category 511 - Ind. & Comm-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99973
02/24/2003
Other J
Vent J
Use/Nature
of Work
Hall/Channel 10/Install new Lennox 4 ton a/c unit.
Fees: Valuation
Issued By:
$4,830.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$0.00
Date 02/27/2003
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 Inspection Services
P.O. Box 1130
Oshkost% WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 '
FEB 2 4
D: ?ARTMENT OF O/HKQ/H
ON THE WATER
HVAC PERMIT
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 Inspect/on Services, PO Box i 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) w/Il result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
.If' you are a contractor participating in zhe Permit fee Accoun! System and have adequate 'funds, check here
.if you want this procexsed through your account [-~
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CONTRACTOR ~ ~)(,, M~~,(,..,I::M,~ lix3~
CItECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family [Duplex
[]Multi-Family
[]Rental t;~tCommercial nlndustrial
FUEL nGas 5~tectTic []Solid
~Oil []Solar
TYPE
E]Forced Air []Radiant F1Steam [i~C [-1Vent
SYSTEM
FINer,
[] Other
IDElectric nHot Water nSuppl, riCoh. Burner
IS CttlMNEY BEING LINED nNo DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHI~'i NEY TYPE
~. ;EAT LOSS
BTU iLITE
[] Chimney A
[]As Approved
lJAs Per Plan
[] Chimney B
[]Existing
ElVariable
~Direct Vent
ElNot Applicable
[5]Other Value
[~Other
DESCRIPTION OF ALL WORK BEING DONE_
bD,3 Ox
ELECTRICAL CONTRACTOR ~_. 0~,JN L'~
For applicable projects, an Eleca-ic installation VeriScation for.m, signed by thc ¢:lectrical Contrac. tor, must be
attached. If not mtachcd or not apphcab:e, a separate Electrical Pcrmit is required.
9/o2