HomeMy WebLinkAbout0151624 - HVAC (replace furnace and AC) CD CITY OF OSHKOSH No 151624
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1623 KENTUCKY ST Owner RONALD J SPALDING
Contractor MARX MECHANICAL Category Create Date 08/10/2012
tegory 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓j Gas U Oil ❑ Electric Solar
U J I I Solid
System L New Q Replace
❑ Other
1_✓] Forced Air I __J Radiant J u Steam I u A/C I u Vent
U Electric U Hot Water
] I I Suppl. I U Con. Burner
Chimney Type O Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss O As Approved • Existing 0 Not Applicable I Value
BTU Rate O As Per Plan O Variable • Other j Value
70,000
Use/Nature SFR/REPLACE FURANCE AND A/C **check#9801
of Work
Fees: Valuation $4,000.00 Plan Approval
$0.00 Permit Fee Paid $70.00
Issued By: 25-rn Lk
Date 08/10/2012
❑ Permit Voided I Parcel Id#1501790000
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 54903-1730
Phone(920)236-5050
Fax (920)236-5084 OOJ1 i
ON Tait W,TER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be pfnce_ssed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1 128,
Oshkosh Wl 54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater_
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account (1
Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is
processed for Permit Issuance and will be returned for completion. required,will not be
DATE 8'
JOB ADDRESS I(0 2) 1 3 Kt J&
OWNER 01�1 `leptto►NJ
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family DDuplex l3MultiFamily ❑Rental OCommercial IJindustrial
FUEL Was DElectric DSoiid SYSTEM ONew l Replace
Mil DSolar DOther
TYPE
Forced Air DRadiant DStearm IA/C DVent i3Electric DI3ot Water DSuppl. DCon_Burner
IS CHIMNEY BEING LINED DNo J1Yes -LINIER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChinutey B 17birect Vent DOther
BEAT LOSS ` DAs Approved tglExisting CTNot Applicable ,
BTU RATE ❑As Per Plan DVariable ]Other Value "try 0 0 6 I N PU T
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE("deluding labor and materials)$
L-10 0
F1.FCTRTCAL CONTRACTOR(for projects not requiring an EIV Form)
07/07