HomeMy WebLinkAbout0151521 - HVAC (replace furnace) 0 CITY OF OSHKOSH No 151521
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1242 W 10TH AVE Owner RANDY S HANFORD Create Date 08/03/2012
Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓I Gas U Oil I Electric r] Solar 7 Solid
System [3 New ✓ Replace j 7 Other
✓] Forced Air u Radiant u Steam J A/C H Vent
Electric U Hot Water Suppi. U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 70,000
Use/Nature SFR/REPLACE FURNACE,WIRING TO BE DONE BY THE HOMEOWNER **check#97969
of Work
Fees: Valuation,, $2,990.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: �i> f t i( Date 08/03/2012
Permit Voided Parcel Id#1307740000
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 OOJJ
ON T4-;f WATER
HVAC PERMIT APPLICATION
All information alter bold categories must be provided.
Incomplete applications will not be processed.
• AppIication(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 5100.00 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 f
*'`Advisory-For applicable projects,an Electrical Installation Verification(EIY)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]EV when such is required,will not be
processed for Permit Issuance and will be returned for completion p
DATE o ` �—
JOB ADDRESS I C` AI �! 11) 61C-_
OWNER ro-N')�i D
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
14Single Family CIDuplex fllvdltiti Family °Rental l=lCommerciai Dlndustrial
FUEL tiGas °Electric [iSoiid SYSTEM ONew ViReplace
Doll ❑Solar °Other
TYPE
)Forced Air °Radiant °Stearn OA/C OVent °Electric OHot Water ClSuppl. OCon.Burner
CIIMENEY BEING ZINED'V3No 1DYes -LINER SIZE &MANUFACTURER
Note:Al]chimneys shall be sized per the BTU's being vented.
CHI31'.NEY TYPE °Chimney A ❑Chimney B 'Mired Vent °Other
}TEAT LOSS ` DAs Approved 19Existing Elliot Applicable
BTU RATE []As Per Plan O Variable 130ther Value /0 6 0
DESCRIPTION I_SCOPE OF ALL WORK BEING DONE
feiL/)('t•-• / 't7 Nfl o t vi L 0V010'x. 6- vie- .3 toe -0 - b
VALUE(Irieloding labor and materials)$ l 0
ELECTRICAL CONTRACTOR(for projects not requiring an MV Form) 1
07/07