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HomeMy WebLinkAbout0099663-HVACOSHKOSH ON THE WATER Job Address Contractor Fuel System 1740 IOWA ST MARX MECHANICAL LLC CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD No 99663 [] Gas [] New ~J Forced Air ~-Electric Radiant Hot Water Chimney Type ~ Chimney A ~ Chimney B Heat Loss ~ As Approved ~ Existing BTU Rate ~ As Per Plan ~ Variable Use/Nature of Work Owner RICHARD J/PATRI PAULIK Category 502 - Residential-Both ~-Electric [] Replace [_g Steam U Suppl. ~ Direct Vent Solar ~-Con. Burner Not Applicable J Value Not Applicable Other NSFR/ Install Lennox heating/cooling system in new home. Value Create Date 10/18/2002 Plan I LJ So,d I [] Other I L-J Vent 100m btu input & 2.5ton Fees: Valuation $11,800.00 Plan Approval Issued By: $0.00 Permit Fee Paid [] Permit Voided $173.00 Date 02/03/2003 In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner OSHKOSH Address 4535 STATE ROAD 91 WI 54904 -6304 Telephone Number (920) 235-6510 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 he'Provided. Incomplete applications will not be processed. ©/HKO_/H ON THE Vv'ATER · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect/on Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR 7~y_2g__are a con~'tici~a~n _the Permit~a~d have ade 'ua~ ?unds check_here ~ wa~t t~cessed throu.-h ou~: accou~t [] A m ss. I' lov,,J %T CItECK [] ALL APPLICABLE USE CATEGORY ~J~ngle Fmnily I-tDuplex I-1Multi-Family I-1Rental FLTEL E~a~ fi]Electric []Solid L-]_.; Oil Ii]Sola- ed Air E]Radiant F]Stemn IEF~C EVent ~Electric IS Ct[IMNEY BEING LINED ~o FlYes - LINER SIZE Note: All chhmxeys shall be sized per the BTU's being vented. SYSTEM ~, fi]Replace [] Other I~l~ot Water fi]Suppl. []Con. Burner & MANUFACTURI~R CHIMNEY TYPIC; ~Chinmey A kqChinmey B []Direct Vent []Odner ~ ~EAT LOSS Ii]As Approved E]Existing ITJNot Applicable BTU ILATE l_qAs Per Plan E]Variable []Other Value ELECTRICAL CONTRACTOR D For applicable projeuts, an Electric la~statlation Verification form, signed by thc !{leclrical Contractor, mus~ be at~,uched. If not a'4ach<:d or not applicable, a separ:;te Elecb-ical Permit ~s required. 9/02