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HomeMy WebLinkAbout0153009 - HVAC (replace furnace) (9 CITY OF OSHKOSH No 153009 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2336 ALLERTON DR Owner SAM/DELPHA PFAFFENROTH Create Date 10/17/2012 Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan Inspector Nicole Krahn Fuel 0 Gas Oil I 0 Electric Solar Solid System ❑ New 1 Q Replace ❑ Other j IN Forced Air Radiant ❑Steam /C ET Vent j Electric ET-lot Water I ❑Suppl. J Elon. Burner Chimney Type 0 ChimneyA 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,ELECTRICIAN IS BEEZ ELECTRIC **check#9965 of Work 1 Fees: Valuation $3,000.00$3,000.00 Plan Approval - $0.00 Permit Fee Paid _ $55.00 / Issued By: I 1 tj Date 10/17/2012 ❑ Permit Voided 1 Parcel Id#1317970000 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 1 130 Oshkosh,W154903-1130 *„.././4 Phone(920)236-5050 Fax (920)236-5084 OA—KO/--I ON fl-if WATER HVAC PERMIT APPLICATION All information after bold categories must 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 1 128, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater_ OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account n **Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mast be submitted with the permit application. Applications submitted without an ELY when such is required,will not be processed for Permit Issuance and will be returned for completion. A DATE �� JOB ADDRESS 42,5 A L LsY1.- i\I Da-- O W N E R Y\ - i)t7 L P} i194('ft 1 ►y CONTRACTOR MARX MECHANICAL INC CHECK MI ALL APPLICABLE USE CATEGORY mingle Family DDuplex flMulti Family Mental 1Commercial []Industrial FUEL 05as OElectric DSolid SYSTEM ❑New yiReplace 0011 OSolar ©Other TYPE l Forced Air ©Radiant DSteam DA/C l3Vent DElectric Elliot Water DSuppl. DCon.Burner IS CHIMNEY BEING LINED ONo Wes -LINER SIZE &MANUFACTURER Ft e 1e--L Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A OChimney B kibirect Vent ❑Other HEAT LOSS ` DAs Approved ViExisting ONot Applicable BTU RATE DAs Per Plan ❑Variable I14Other Value (1,',U'0 6 1-L( NPu DESCRIPTION/SCOPE OF_ALL WORK BEING DONE ( 7�f1' PUP o L'Ji fl± 0\,A,16, /74 k —C . VALUE(Including labor and materials)$ , `)(,!JO (c-ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) - 07/07