HomeMy WebLinkAbout0144225-HVAC (furnace) 0 CITY OF OSHKOSH No 144225
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1265 ARDMORE TRL Owner ANNAMARIE SCHNEIDER Create Date 11/30/2010
Contractor MARX MECHANICAL Category 500 - Residential- Heating & Ventilating Plan
Fuel Ni Gas u Oil 1 J Electric Li Solar U Solid j
System ❑ New 0 Replace ❑ Other J
IJ Forced Air u Radiant u Steam J NC Li Vent
LJ Electric J Hot Water U Suppl. U Con. Burner
Chimney Type K) Chimney A 0 Chimney B • Direct Vent ❑ Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate ( ) As Per Plan () Variable • Other Value
Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Beez Electric.
of Work
Fees: Valuation $2,955.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: (147/41 Date 11/30/2010
❑ Permit Voided 1 Parcel Id # 1314770000
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
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130 �-���
Phone (920) 236-5050 y s_: \�. �1
Fax (920)236 -5084
ON TttF WATFR
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 participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account fl
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) foray signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must 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 returned for completion. a
DATE /1
t �"1 Q
JOB ADDRESS I d•(.0 5 1
o P_& 7 IC—
OWNER fNN 1 Al I L ,f f�vt_ 10CY2 RECEIVED
CONTRACTOR MARX MECHANICAL INC NOV 3 O 2010
CHECK El ALL APPLICABLE DEPAR NtENT OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
01Single Family ['Duplex ❑Multi - Family ❑Rental ❑Commercial ❑industrial
FUEL Was ❑Electric ❑Solid SYSTEM ❑New glReplace
❑Oil °Solar ['Other
TYPE
*breed Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric [Mot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No Wes - LINER SIZE 3 & MANUFACTURER FLT L,
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B I Direct Vent ❑Other
HEAT LOSS DAs Approved Painting ❑Not Applicable ,
®
BTU RATE DAs Per Plan ❑Variable Other Value
•
DESCRIPTION / SCOPE OF ALL WORK BEING DONE n m Lt Rt/fl et?' w
Eel \1NX i Sr " J O - N e s e , G ( r 1 P - 3 � ) 1
w
VALUE (Including labor and materials) $ 0 t
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) & l— 2et'rg4
07/07