HomeMy WebLinkAbout0144224-HVAC (furnace & ductwork) l CITY OF OSHKOSH No 144224
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1421 OHIO ST Owner BRIAN E/TANYA M KOPPA Create Date 11/30/2010
Contractor MARX MECHANICAL Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas 1 ] Oil U Electric Li Solar u Solid
System ❑ New 1 n Replace 1 ❑ Other
u Forced Air a Radiant u Steam Li NC Li Vent
Li Electric u Hot Water U Suppl. Li Con. Burner
Chimney Type K ) Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss () As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace and repair some ductwork. EIV signed by homeowner.
of Work
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $85.00
Issued By: 0jrn AL/ Date 11/30/2010
❑ Permit Voided I Parcel Id # 1304370000
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
Fax (920) 236 -5084 K 11�
ON 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed throuzh your account f
** Advisory - For applicable projects, an Electrical Installation Verification (ETV) foray signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 1 — I 0
JOB ADDRESS I D 0( Q ST RECEIVED
OWNER &((D u -OPP
CONTRACTOR
MARX MECHANICAL INC NOV 3 0 2010
DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK El ALL APPLICABLE INSPECTION SERVICES DIVISION
USE CATEGORY
'Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial Olndustrial
FUEL 1iiiGas ❑Electric ❑Solid SYSTEM ❑New tigReplace
❑Oil ❑Solar ❑Other
TYPE
121Forced Air ❑Radiant OSteam ❑A /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ONo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B l$Direct Vent ❑Other
HEAT LOSS DAs Approved 0Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable li3Other Value
DESCRIPTION f SCOPE OF ALL WORK BEING DONE Keyway FuiLm t e 4 F I `F-
p U c4v •J0rL W Tt+ (, e}it 6\4. • - Two S` G- ( +r G--(o Irvl P o' g -v1
VALUE (Including labor and materials) $ 50 uu
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 6"l 0 WNI LY..
07/07