HomeMy WebLinkAbout0151323 - HVAC (instal central air) CD CITY OF OSHKOSH No 151323
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 722 W 8TH AVE Owner JAMES D ROBL Create Date 07/23/2012
Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel • Gas j I j Oil Li Electric ❑ Solar I ❑ Solid
System 17 New I C Replace I Other
❑ Forced Air Li Radiant ❑ Steam U A/C ❑ Vent
U Electric ] U Hot Water ❑ Suppl. Con.Burner
Chimney Type b Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss b As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature SFR/INSTALL 2-1/2 TON CENTRAL A/C **check#9744
of Work
Fees: Valuation $2,980.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: D/ 1 W 1 Date 07/23/2012
❑ Permit Voided Parcel Id#0601550000
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 59903-1130
Phone(920)236-5050
Fax (920)236-5084 OfFICA 1
ON Ti-if WATF
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 I 128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$300.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
jfyu want this processed through your account fl
Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application_ Applications submitted without an EW when such is required,will not be
processed for Permit Issuance and will be returned for completion.
✓� DATE 1--- I
JOB ADDRESS 1 J'D, v\.) g 11 Ave
OWNER A k
CON'rrACTOR MARX MECHAN.IC1J, INC
CHECK 8 ALL APPLICABLE
USE CATEGORY
KiSingle Family DDuplex DMultiFarnily DRental DCommercial DIndustrial
FUEL DGas 1Electric DSolid SYSTEM EgNew DReplace
DOB DSolar DOther
TYPE
ilForred Air DRadiant CiSteam I AJC OVent DElectric Elliot Water DSuppl. DCon_Burner
IS CHIMNEY BEING Zll'v'7ED riNo Dyes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented_
CHIMNEY TYPE DChinaney A DChimmney B DDirect Vent • DOther
ITV AT LOSS DAs Approved DExisting DNotApplicable
BTU RATE L3As Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
N STAt,L CeNrn-rte A l C.
c i/ TC
w
VALUE(bicluding labor and materials)$
>4l.ECTR€CAL CONTRACTOR(for projects not requiring an EIV Form)
07/07