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HomeMy WebLinkAbout0144080-HVAC (furnace) CITY OF OSHKOSH No 144080 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1523 SANDERS ST Owner RUBEN E /JANICE M BORGARDT SR Create Date 11/15/2010 Contractor MARX MECHANICAL Category 500 - Residential- Heating & Ventilating Plan Fuel u Gas u Oil u Electric Li Solar ❑ Solid System ❑ New 0 Replace n Other U Forced Air u Radiant _ J Steam A/C _I Vent Li Electric U Hot Water U Suppl. Li Con. Burner Chimney Type 7 , ) Chimney A (9 Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate K) As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by homeowner. of Work Fees: Valuation $2,940.00 Plan Approval $0.00 Permit Fee Paid $55.00 Issued By: 0YYy(,2) Date 11/15/2010 ❑ Permit Voided I Parcel Id # 1305040300 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. 5 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI-54903-1130 Phone (920) 236 -5050 Fax (920) 236 -5084 ON WA ER HVAC PERMIT APPLICATION All information after bold dies 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 peamit fee, which ever is greater. OR If you are a contractor nartici'ating in the Permit ee Account System and have adequate funds. check here if you want this processed through your account ** Advisory - For applicable projects, an kcal Installation Verification (EIV) form, signed by tire Electrical Contractor or Homeowner (for installations allowed to be pafonned by the homeowner) nwst be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed far Permit Issuance and will be returned for completion. DATE ll — if -f 0 JOB ADDRESS 15 3 © S i. RECEIVED OWNER A (1/5r'TI ISO 126 -PM—) S �~ NOV 1 5 2 010 CONTRACTOR MARX MECHANICAL INC DEPARTMENT OF COMMUNITY DEVELOPMENT CHECK VI ALL APPLICABLE INSPECTION SERVICES DIVISION USE CATEGORY Single Family ODuplex ['Multi Family [Mental ['Commercial Olndustrial FUEL Gas ['Electric ['Solid SYSTEM ['New f iReplace 0Oi1 DSolar ['Other TYPE Forced Air ORadiant ['Steam OA/C ['Vent ['Electric ['Hot Water OSuppl. ['Con. Burner IS CHIMNEY BEING LINED EINo ['Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ['Chimney A [)Chimney B tElDirect Vent ['Other HEAT LOSS DAs Approved 3Existing ['Not Applicable BTU RATE ['As Per Plan ['Variable ElOther Value D ON / SCOPE OF ALL WORK BEING DONE P P Vv 1 N3K MOMAT GtO rrnP 3ivt -01l - Two r e lxao CA VALUE (Including labor and materials) $ ‘i U c� ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) & - ()Mere 07/07