HomeMy WebLinkAbout0152391 - HVAC (replace Furance) 0 CITY OF OSHKOSH No 152391
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 509 W 16TH AVE Owner 509 WEST 16TH AVENUE LLC
Create Date 09/14/2012
Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ❑✓ Gas --
Oil --
--- Electric Solar 1
J ❑ Solid
System ❑ New — 1 0 Replace — ❑ Other I
El—Forced Air ] 27Radiant 7 7
Steam
J ❑— A/C — ] Vent
❑Electric Hot Water pp j U Con. Burner
.----- ❑ Su I.
Chimney Type 01 Chimney 0 Chimney B O Direct Vent • Not Applicable 1
Heat Loss 0 As Approved Existing-- _ • Not Applicable I Value
BTU Rate H As Per Plan 0 Variable • Other
] Value 60,000
Use/Nature DUPLEX/REPLACE FURANCE, ELECTRICIAN IS SECKAR ELECTRIC **check#9886 —_ --
of Work
Fees: Valuation ,300.00 Plan Approval $0.00 Permit Fee Paid $89.50
Issued By: .(511 Date 09/14/2012
❑ Permit Voided I Parcel Id#1301460100
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
(920)235_5084
Of - 011 I
I-IVAC PERMIT APPLICATION
All information after bold categories roust 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 W1 54903-1128_ Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater_
OR
I au are a contractor .artici•atin_ in the Permit ee Account S stem and have adesuate unds check here
if Iron want this processed through your account f
**Advisory-For applicable projects,an Electrical Installation Verification(ETV)form,
Contractor or Homeowner(for installations allowed to be performed by the homeowner by the Electrical
with the permit application_ submitted without an EIV when such is )most be submitted
processed for Permit Issuance nuance and will be wed for completion. �'' not be
c, I
cl v t BATE
JOB ADDRESS ` % 0 ' i '
Lo i r'1 /
OWNER h/Vr �� r � I
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
°Single Family Ibupiex °MultiFamily °Rental °Commercial °industrial
FUEL &kras DElectric °Solid SYSTEM °New Ieplace
0011 °Solar °Other
TYPE
l 'oreed Air °Radiant °Stearn DA/C °Vent DElectric °Hot Water DSuppl. °Con Burner
IS CHIMNEY BEING IANE))DNo 6Nfes -LINER SIZE 'i � &MANUFACTURER H.e
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE °Chimney A DChinr;ney B Mirect Vent 0Other
BEAT LOSS DAs Approved Existing l]Not Applicable _
BTU RATE DAs Per Plan °Variable ❑Oth:er Value (0 0\i 0( C 11{ I
OESCRIi'TION/SCOPE 01?ALL WORD BEING DONE
ti-c -0AA iv-0-mac,- +.TLtl- t_ Kt ct P(,, d•gn St i;10(AL
•
VALUE(Including labor and materials)$ 5 3(i)() <"
•
Ei.ECTRICAL CONTRACTOR(for projects not regrriring an EW Form) 14
07/07