HomeMy WebLinkAbout0152390 - HVAC (replace Boiler hot water heating system) l9 CITY OF OSHKOSH No 152390
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1550 N EAGLE ST Owner MAVIS D GEHLING SURVIVORS TRUST Create Date 09/14/2012
Contractor MARX MECHANICAL Category 510-Ind. &Comm-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ❑—Gas i i J Oil U Electric Lhrolar L 1 Solid
System ❑ New 0 Replace _ i rJ Other
LjorcedAir Er-Radiant I--Steam J A/C Ill-Vent j
❑-Electric _] ✓ Hot Water I ] Suppl. 1 j Con. Burner
Chimney Type Q Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss Q As Approved • Existing O Not Applicable -1 Value
BTU Rate a-As Per Plan 0 Variable • Other Value
Use/Nature ULTI-FAMILY/REPLACE BOILER HOT WATER HEATING SYSTEM **check#9886
of Work
Fees: Valuation 4,570.00 Plan Approval $0.00 Permit Fee Paid $79.00
Issued By: a Date 09/14/2012
❑ Permit Voided Parcel Id#1600910000
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 54903-1 130
Phone(920)236-5050
Fax (920)236-5084
0/1--K011 I
HVAC PERMIT APPLICATION
All information after bold categories must be pmvided.
Incomplete applications will not be processed
• Application(s)and fee(s)can be brought to City Services,WI 54903-7 128. Commencing work without peermit(s)will result in fees being doubled or PO$100.00 3128,
lu
normal peariit fee,which ever is greater. 0.00 plus the
OR
I on are a contractor ,arlici.atin: in the Permit ee Account S stem and have aode,uate unds check here
if you want this processed through your account fl
"Advisory-For applicable projects,an Electrical hustaIlation Verification
Contractor or Homeowner(for installations allowed to be performed by the�f form, by the fitted cal
with the permit application. submiitted without an EIV when such is )must be submitted
processed for Permit Issuance nuance and will be returned for completion, ��will not be
DATE Cl
JOB ADDRESS i•D U t'1 �- �. j
OWNER 1�'�,' �' � IN (s--
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
`FNingle Family EDuplex OMulti Family DRental []Commercial 1]Industrial
FUEL V]Gas DElectric []Solid SYSTEM blew l Zepiace
0011 OSolar []Other
TYPE
•
OForced Air DRadiant OSteam DA/C ElVent DElectdc lHot Water t]Suppi. OCon.Burner
IS CHIMNEY BEING LI=NEDrINo DYes -LINER SIZE
Note:All chimneys shall be sized per the BTU's being vented. MANUFACTURER
CHIMNEY TYPE ❑Chimney A []Chimney B []Direct Vent • DOther
HEAT LOSS DAs Approved Existing []Not Applicable
BTU RATE DAs Per Plan []Variable []Other Value
DEISCRI I ION/SCOPE OF ALL WORK BEING.DONE 14 o_ 112' l 1 l t'�Z
:t11► V\10 i 1L f{.f �( .Si17,11.
VALUE(Including labor and materials)$ [��;d 1 (.7 (')
El ECI RICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07