HomeMy WebLinkAbout0153459 - HVAC (furnace and AC) Il CITY OF OSHKOSH No 153459
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1640 VILLA PARK DR - Owner JAMES W/MARY RIEDI Create Date 11/08/2012
Contractor MARX MECHANICAL Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel 12 Gas 1 D Oil ❑❑Electric —I Q Solar ❑ Soliid
System ❑ New Q Replace _I ❑ Other
0 Forced Air 1 Ell-Radiant J Steam J ❑q/C
_ _ — ] ❑Vent _
__I Electric J ❑�t Water –1 ❑Suppl. 1 ❑Con. Burner
Chimney Type ❑Chimney A ❑ Chimney B • Direct Vent ❑ Not Applicable
Heat Loss ❑ As Approved 0 Existing ❑ Not Applicable l Value
BTU Rate ❑ As Per Plan O Variable • Other Value 70,000
Use/Nature SFR/REPLACE FURANCE AND A/C, ELECTRICIAN IS THE OWNER "check#10025
of Work
Fees: Valuation _$5,200_ .00 Plan Approval $0.00 Permit Fee Paid $88.00
Issued By: L9 "... Date 11/08/2012
❑ Permit Voided Parcel Id#1319600000
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
Of- TKO/
ON HVAC PERMIT APPLICATION 7� tATFR
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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
ifIf you are a contractor participating in the Permit fee Account System and have adequate funds, check here
you want this processed through your account Fl
**Advisory- For applicable projects, an Electrical Installation Verification(Ely)form, signed by the Electrical
Contractor or Homeowner(for installations'allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE b f
JOB ADDRESS p(--I 0 Uk L
OWNER .1 ∎ r- 14), 1&I l 1j I
CONTRACTOR Marx Mechanical, Inc
CHECK Ef ALL APPLICABLE
USE CATEGORY
MSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ®Gas ❑Electric ❑Solid SYSTEM ❑New
❑Oil ❑Solar I�Replace
❑Other
TYPE
FIForced Air ❑Radiant ❑Steam IAA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No WYes -LINER SIZE .3 tl
Note:All chimneys shall be sized per the BTU's being vented. MANUFACTURER C
CHIMNEY TYPE ❑Chimney A ❑Chimney B Direct Vent ❑Other
HEAT LOSS DAs Approved fnExistin
BTU RATE DAs Per Plan ❑Variab� '�70t1 erValueble
?J/(1o0 INf'Vi
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
Pf e P ;C_ V m Li1vf�D�
tooryv 0 ]tilt, s1 I\6-c. F tX2.-N(1f.��
Z Li 4-1-'01 t\ IC t/ I:i 11
VALUE(Including labor and materials)$ ��i-0 0 :�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Ott O1/. CAL.
07/07