HomeMy WebLinkAbout0152588 - HVAC (furnace) CD CITY OF OSHKOSH No 152588
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1402 LIBERTY ST Owner GERALD L ANKLAM Create Date 09/26/2012
Contractor MARX MECHANICAL Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas
OilElectric
Li [Solar 1 ill Solid
System ❑ New ] 4 Replace J ❑ Other
✓ Forced Air I Radiant I Q.Steam H NC J El Vent
[Electric ] ❑ Hot Water fuppl. ❑ Con. Burner
Chimney Type 0 Chimney 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing O Not Applicable ] Value _
BTU Rate 0 As Per Plan 0 Variable
• Other Value
Use/Nature SFR/REPLACE FURANCE AND A/C {electrician is Kaufmann Electric) **check#9914
of Work
Fees: Valuation _ $4,800.00 Plan Approval $0.00 Permit Fee Paid $82.00
Issued By: i.". Date 09/26/2012
❑ Permit Voided J Parcel Id#1206270000
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 QCJJJ 1
HVAC PERMIT APPLICATION ON 11-if IlATFf;
All information alter bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City
Oshkosh WI 54903-1128. Commencing work without permit()will e tilt in fees being doubled or S100.00 plus the
normal permit fee,which ever is greater_ plus
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if von want this processed through your account n
**Advisory-For applicable projects,an Electrical 7nstallat km Verification(Eli)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applica1ions'submitted without an IlV when such is
processed for Permit Issuance and will be returned for completion. ° 'will not be
DATE
JOB ADDRESS 1L/0 L 16 -Li sr
OWNER C- 1\-t.0 ANY t Pr v)
CONTRACTOR MARX MECHANICAL INC
CHECK El ALL APPLICABLE
USE CATEGORY
'Single Family IIDuplex flMultiFamily DRental OCommercial Olndustrial
FUEL PGas °Electric LJSoiid SYSTEM °New OReplace
0011 ['Solar DOther
TYPE
PCIForced Air °Radiant DSteam mA/C DVent °Electric °Hot Water °Suppl. °Con.Burner
1S CIDMTTEY BEING LINED DNo 0Yes -LINER SIZE 3" &MANUFACTURER !`
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A DChimney B IRIDirect Vent DOther
HEAT LOSS ` DAs Approved ElExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DES ON!SCOPE OF ALL WORK BEING DONE
APL (' L (71\11\16)C. n LOvJNv)C
G(e ((YAP - 3(nh—b7) -01 rqJ-1\) _is wt 000 /1\112" r-
3 AC_ - 0--
VALUE(Including labor and materials)$ 10 L ) �
•
Fl.FCTRICAL CONTRACTOR(for projects not requiring an ElY Form) i�t-�� F� t
07/07