HomeMy WebLinkAbout01582929 - HVAC (replace Furnace) el) CITY OF OSHKOSH No 152929
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1002 ELMWOOD AVE Owner 1002 ELMWOOD AVENUE LLC Create Date 10/12/2012
Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas LjDil 0 Electric H Solar Solid
System ❑ New 4 Replace [] Other
J Forced Air Radiant ] Steam JAC 1 I–Vent
L Electric Hot Water H Suppl. 1 ] Con. Burner
Chimney Type Q Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other - Value 80,000
Use/Nature SFR(RENTAL)/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **check#9948
of Work
II
Fees: Valuation $2,\900.00 Plan Approval $0.00 Permit Fee Paid $53.50
C; L
Issued By: —) Date 10/12/2012
❑ Permit Voided Parcel Id#0503820000
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 oOofInsh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 C. — (C)J1 I
pia 71-iI?MATER
HVAC PERMIT APPLICATION
All information alter 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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or 3100.00 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
*'*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 perm a application. Appliications'submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion. C�
DATE I
JOB ADDRESS Ll o • 1`A vQ 0 b 1) N e
OWNER kt wM Q(2• 0 Pty-i .I
CONTRACTOR_ MARX MECHANICAL INC — —
CHECK 171 ALL APPLICABLE
USE CATEGORY
ingle Family ElDupiex [ Matti-Family ClRental l]Comrnerciai DIndustrial
FUEL bias ElElectric OSolid SYSTEM IJNew ‘Okeplace
DOD E]Solar DOther
TYPE
\Forced Air DRadiant OSteam DA/C OVent DElectric IIHot Water DSuppl. DCon.Burner
IS CHIMNEY BEING LINED l?No DYes -LINER SIZE &MANUFACTURER
Note:All chimneys ehall be sized per the BTU's being vented.
CHIMNEY TYPE 0 Chimney A DChimney B ' Direct Vent DOther
MEAT LOSS ` I3As Approved P3Existing EINot Applicable
BTU RATE []As Per Plan DVariable ®Other Value g01000 61 tt
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
19.cA n k- TIT Rio_No a e v__ u0 \ t
VALUE(Including labor and materials)$ 0 0
F.T.FCTRiCAL CONTRACTOR(for projects not requiring an EIV Form)
CC(L
07/07
�,