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HomeMy WebLinkAbout0151324 - HVAC (replace AC) /\') CITY OF OSHKOSH No 151324 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1341 OTTER AVE Owner ROBERT J JAKUBOWSKI Create Date 07/23/2012 Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan Inspector John Zarate Fuel I Gas I Oil ] ✓ Electric I Solar Solid System [ New n Replace I ❑ Other u Forced Air Radiant ❑ Steam H A/C U Vent Electric ] I I Hot Water ] Suppl. ❑ Con. Burner Chimney Type p ChimneyA 0 Chimney B O Direct Vent • Not Applicable Heat Loss As Approved O Existing • Not Applicable Value _ BTU Rate 0 As Per Plan O Variable • Other Value Use/Nature SFR/REPLACE 2 TON A/C **check#9744 of Work Fees: Valuatio ,1 + L2,530.00 Plan Approval $0.00 Permit Fee Paid $49.00 Issued By: Date 07/23/2012 ❑ Permit Voided Parcel Id#0802940000 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'q Fax (920)236-5084 O ()J1 I ON T4-if WRTF1 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 1 728, Oshkosh WI 54903-1128. Commencing work without permits)will result in fees being doubled or$700.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account n Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application_ Applications submitted without an EIV when such is required,will not be processed for Permit Issuance and will be returned for completion. r-� q 0 p, - DATE 1 I'-"I -. JOB ADDRESS 13 1 0 T Z ' VC OWNER ISO 6 PrtLU6OWS1L CONTRACTOR MARX MECHANICAL INC CHECK l?I ALL APPLICABLE USE CATEGORY *Single Family °Duplex flMuiti Family DRental lJCotnmercial fllndustrial FUEL lJGas yalectric °Solid SYSTEM DNew eplace 9011 °Solar °Outer TYPE ©Forced Air °Radiant °Steam 1A/C l]Vent °Electric °Hot Water °Suppi. °Con Burner IS CHIMNEY BEING II,INED 1 No Dyes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE °Chimney A ❑Chimney B LlDirect Vent Li Other ItEAT LOSS 13As Approved ©Existing IINot Applicable BTU RATE LlAs Per Plan °Variable C°Other Value DES ON/SCOPE OF ALL WORK BEING DONE RAJ �"►�-t L k I N NOX. M - 131 u-030 ft io r� VALUE(Including labor and materials)$ - ri • El.ECTRICAL CONTRACTOR(for projects not requiring an MV Form) 07/07