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HomeMy WebLinkAbout0133338-HVAC (furnace)/~"~ CITY OF OSHKOSH No 133338 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1538 FAIRLAWN ST Owner EUGENE T TROXELL Create Date 10/07/2008 Contractor MARX MECHANICAL Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar Solid System ^ New ~ Q Replace ~ ^ Other ~ / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl.___ ~Con_Burner Chimney Type Chimney A Chimney 6 Direct Vent Not Applicable _ Heat Loss As Approved Existing -- Not Applicable _ , ~ Value BTU Rate As Per Plan Variable Other , Value Use/Nature of Work with a Lennox 2-stage furnace. Fees: Valuation $3,280.00 Plan Approval $0.00 Permit Fee Paid $59.50 Issued By: ^ Permit Voided Date 10/07/2008 Parcel Id # 1306932000 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 ~~ q r.7 d Division of Inspection Services /- ~ /~ P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920) 236-5084 ~--~~~ ~'7N 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. OR If you are a contractor barticinatinQ in the Permit fee Account Svstem and have adequate funds, check here if you want this yrocessed through vour account ** 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) most 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. (~ Q DATE -I ~ O JOB ADDRESS I~ 3g ~~~-~-~~~ S~ OWNER ~~[.~'E ~~~ CONTRACTOR MARX MECHANICAL INC X35 " ~~ ~~ CHECK ~ ALL APPLICABLE USE CATEGORY Single Family Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL ~1GaS ClElectric C]Solid SYSTEM ONew [Replace OOil OSolar C]Other TYPE [~fForced Air . ClRadiant ^Steam DA/C ^Vent (Electric ^Hot Water ^Suppl. OCon. Burner IS CHIMNEY BEING LINED 1~9No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A ^Chimney B 6dbirect Vent C]Other HEAT LOSS DAs Approved Existing [7Not Applicable,~~ ~oo I ~~ \~ BTU RATE ^As Per Plan Variable Other Value 1'y DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~.1: ~~}t~ ~~ w lltt ~~1uvo~ ~(~~m~P- 3t~6-o10 ~~ S~(~g ~r VALUE (Including labor and materials) $ L.b~o ~ ~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~ Q ~~ ~- o~/a~ CT-03-2008 01:15 PM MARX HEATING 920 235 6210 J~ t. 3, 1C08 12; 41 PM No. 4165 P, 2 ~~tlt. C~~I~.-l~.-- Cil~ef~ciited- Dlvyi~» of IIIp1~i t~ S~Ncp~ aU CF'nnf M~n•» PO 60~ l i ~o Or~to:iwt 51417.117 oson ~!4ts~sow Atix o'i9•i:e•!OU lectric Inetallatioa ~'ertflaati~n I f1~/e) _~G/G C ~ ~ ~~ a ~~ (Electrical Conlrrsctor N~une or H'omeowner's Name ~~~ (Address) (City) (State) (Zip Code) accept ttK rospotuibiiity co perFotm the eleotrlo ~vurk as stated belo++!-, at iht. flilloWin$ addze~a; -_ /.538. ~/-~ iR ~ ~tcy~y~ S J'r (Address where work will be performed) The nature of the work consists af: (check One or Describe the Nature of Work) ltecottnection or new :.iret,it fur rop]~~,ement 1'~Ioating e~lant e~dror A.'C Condenier, Reconnection or new s~ircuit for replacement hleetrie 1~atar Taleater. car power vanted wattlr hector. • Reoaullaction oPthc Service F,utrancu Cable, T'Tcter Box, alterations to raoptacias and lighting fixtixrts duo to eidin~ / aot~"it 9n`±allativn Nate: New ~ervlce • l:.ntranceulbles will regnit- a a~a;~alrate perntet. _,._ Recortr~ecdon or now circuit fog: the replaoement of otbor pertnsrtertl;r wL•ed applisuces /fixtures, ;,,_, New circuit for tht, addition of A!C to an 1nrrfividual dwelling un1t, inoluding required aervioe eleetrteal oudeta, Note; .FiTO~neowners can only do their own elactric on a single family owner occupied home. Work o~ a condo-nini7n-1, • drrplax, roots!, or mrl/ri-trsa bailding would regHire a licensed Electrical Contractor. Other Tix value of this work is $ G l hereby verify this work will be performed in compliance with the License requirements of Sectiop 1 l -22 of the Osahlcosh Municipal code and iturther verify tha reoortnection / iastallrttiort will be done incompliance with manlltketurcr aad Hleotric code requirements. (9terattac oPCompony Oitio~r or Hotneoweer) pal Noau (bps) P. 01 07!07