HomeMy WebLinkAbout0133078-HVAC (exhaust hood)OSHKOSH
ON THE WATER
Job Address 1635 W 20TH AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner LEONARD G/TERESA T SCHMICK
No 133078
Create Date 09/24/2008
Contractor MARX MECHANICAL Category 520 -Ind. & Comm-Other Plan E4-2504-0908
Fuel Gas Oil / Electric Solar Solid
System ^ New ~ ^ Replace ~ ^ Other ~
Forced Air Radiant Steam A/C / Vent
Electn'c~ Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature Installation of pima oven exhuast hood as per plan
of Work'.
Fees: Valuation $9,800.00 Plan Approval $0.00 Permit Fee Paid $157.00
Issued By:
^ Permit Voided
Date 09/24/2008
Parcel Id # 1323200000
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 Ciry 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 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~N~ ,.~
ON TWE WATER
~ 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.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retarned for completion.
DATE - I ~~ ~ ~ g
JOB ADDRESS ~ ~ 35 W c~ 0 'F'h f~l) e
OWNER ~ ~' ~ 1L~
CONTRACTOR MARX MECHANICAL INC
CHECK ~ ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental
FUEL I~GaS ^Electric ^Solid SYSTEM
^Oil ClSolar
LJCommercial
L7New
^Other
^Industrial
I~Replace
TYPE
^Forced Air ^Radiant ^Steam ^A/C Went ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED li~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ®Direct Vent ]Other
HEAT LOSS ^As Approved ^Existing ®Not Applicable
BTU RATE ®As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
INST~ ~ r/rus~ Nt)c~D ~orz P~zz-~ OU~r~I
VALUE (Including labor and materials) $ ~ ~~ ~ ~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~-~~N~ ~-L~-'~-1~-+
o~/o~