HomeMy WebLinkAbout0133783-HVAC (furnace) CITY OF OSHKOSH No 133783
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1000-1002 OREGON ST Owner 1000!1002 OREGON STREET LLC Create Date 11/03/2008
Contractor MARX MECHANICAL Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ~ New I ~ Replace ~ Other
/ Forced Air Radiant Steam A/C Vent ~
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
Use/Nature Duplex /Replace flood damaged furnace for each unit. EIV signed by Seckar Electric.
of Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $68.50
Permit Voided
Date 11/03/2008
Parcelld # 0302150000
In the performance of this work, I agree to pertorm 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 pertorm 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
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~^ jI ~^
Fax (920)236-5084 i~l~i }
HVAC PERMIT APPLICATION
All infortnation 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. participatin,e in the Permit fee Account Svstem and have adequate funds, check here
if you want this processed through voa~r account
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed b'y the homeowner) must be submitted
with the permit application. Applications submitted without an EIV ~ hen such is required, will not b'e
processed for Fermi.t Issuance and will be returned for completion. ~ ( ~ ~
DATE ~ O `~
JOB ADDRESS f QQ~I~~C~~N 5)
OWNER ~~i~i~~~ ~IZp ~~k.Ti ~'~
CONTRACTOR MARX MECHANICAL INC
CHECK 0 ALL APPLICABLE
USE CATEGORY
^Single Family E~,Duplex ^Multi-Family
FUEL i~Gas OElectric ^Solid
^Oil ^Solar
^Rental
SYSTEM
TYPE
~1Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^I-
IS CHIMNEY BEING LINED ®No ^Yes -LINER SIZE &
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE 'f?7Chimney A ^Chimney B ^Direct Vent
HEAT LOSS DAs Approved l~Existing ^Not Applica
BTU RATE ^As Per Plan ^Variable ®Other Vahie
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~~~~e C
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9.SR 0`i~C~tiB
VALUE (Including labor and materials)
$~P~ u
ELECTRICAL CONTRACTOR (for projects not requiring :1n EIV Form)
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al
gNew 1~9Replace
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ater ^Suppl
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