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