HomeMy WebLinkAbout0133328-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 111 FULTON AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner ELAINE M WASTART
No 133328
Create Date 10/07/2008
Contractor MARX MECHANICAL Category 500 -Residential-Heating_& Ventilating _ Plan
Fuel / Gas Oil Electric _j Solar _ _, ^ Solid
System ^ New ~ ^/ Replace ~ ^ Other _ _ _ _ ',
/ Forced Air Radiant Steam A/C Vent 1i
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 120,000
UselNature
of Work
Fees:
Issued By:
Date 10/07/2008
^ Permit Voided Parcel Id # 1000140000
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.
/REPLACE FURNACE,
Plan Approval $0.00 Permit Fee Paid $55.00
SSw
Cifiy of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pt}one (920) 236-SOSO
Fix (920) 236-5084
Rec~eveD
OCT 6 2008
DEPk1tT"MENT OF
COMMUNITY DE~JELOP~1ENT
HVAG~NI~~E~RMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~~I 1
one "r'a:!'~"ia:•aTra
• Application(s) and fee(s) can be brought to City Hall, Room 20S 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
I au_are a contractor participating in the Perr,~it fee .account Svstem and have adequate funds, check here
if you want this processed through Your account
'~ ~ Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
C ntractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
th the permit application. Applications submitted without an EIV when such is required, will not be
p cessed for Permit Issuance and will be returned for completion.
'~
DATE ~ ~ _ ~ ~ ~ I
J~B ADDRESS ~ (~ ~L ~~~~ ~~
KTRACTOR MARX MECHANICAL INC
ECK 0 ALL APPLICABLE
:CATEGORY
Ingle Family I~J`Duplex ^Multi-Family ^Rental
~lGas ^Electric ^Solid SYSTEM
^Oil ^Solar
^Commercial
C7New
^Other
^Industrial
`(Replace
orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
CHIMNEY BEING LINED ^No ~lYes -LINER SIZE ~3i & MANUFACTURER 7 w'Ll''~
te: All chimneys shall be sized per the BTU's being vented.
VINEY TYPE ^Chimney A ^Chimney B I~Direct Vent ^Other
T LOSS ^As Approved ~9Existing ^Not Applicable
RATE DAs Per Plan ^Variable ~lOther Value
/SCOPE OF ALL WORK BEING DONE ~~ I~ It= 1=~1~-i~lF~~-i' ~1 ~~~1
5 ~~ P~F ~ (LC Ill f°a-t~C, ~~[~ (lll(1 ~Zl lf~l~~li 1-°(XC.l~1PP,tS
UE (Including labor and materials) $ ~~~
CONTRACTOR (for projects not requiring an EIV Form) ~ ~-t~~--i~-~
017/07
i
lO10I12008 14:96
y
Ph Ti+i ~MTAR
9202317255
Ciey of+:l~t,axn
~viyiya~;-f hipeeti0n Sen+ices
2[5 Chuwh Avrnuc
PO Booc 113D
~~^rxh+~x,.rh'P:? =d9p3~;t±t7
O!'!ief '??!f.236.5!!50
Fnx 9111.2~(rS(1$3
Bf_;~7 !:~E._T2IC
PAGE 01
REC:~i1/EC3
OCT 6-2008
DEPA~7MEN"f OF
COMMUivITY DEVELOPMENT
INSPECTIOi1! SERVICES DIVISION
Verifcafion
Electric Installation
2.Q 1 S. 4.1d.~~vood Rd. Os osh WI 54944
!lave b~;er.~. car~~te~3 to perform electric installation work fox Marx Mechanical,
at the Foil4thli:~ ad,~lress: t 11 FultGn ~Lve.
The nature of the wa;<rk consists or ~ (Chuck One or Describe the N.ahire +~£ Work)
Recc~:ne:~:tif~a or new circuit for replaee~nc>,ent Heati~ slant az1cL'or ~`C Cond+:t~ser.
(_~ Reconne;ction or new circuit for .replacennent Electric Water Heater.
Lj Reconneckion of't,(xe Service Entrance Cable, Meter Box, alterations to receptacles and
'igbtia~ i:~~tu:~ dzae to Fidi;:~ / e~fFit inrtallati~n. 1~Tate: New ~~ice F.ntr~:~n.cY
Ca~aler ~~ ia! r~ui„*e a separate per±nit.
keewnn~;~~tic~n or~ new cucui~t fur athrr permanently wired applxatACes / rixturea.
~ _.-
The value of this work is $aS0.00
I hereby verify this ~~voric will be performed by an ernployoe of this cotttpany atad further verify
tt~e reca~ection / u:~stallation will be done in compliance with mactufacttuer and Electric code
requirements.
~-~' ~ C}at~Biesin,~er 10!01/08
(S gn a f Comp, Officer)