HomeMy WebLinkAbout0156156-HVAC (a/c) � CITY OF OSHKOSH No 156156
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2503 VILLAGE LN Owner THOMAS R/SUSAN J SPANBAUER Create Date 06/13/2013
Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas i Oil ✓ Electric Solar Solid
System � New I �✓ Replace JI � Other I
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type � Chimney A � Chimney B � Direct Vent � Not Applicable '�
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature SFR/Replace A/C.
of Work
"check#10443""**
i
�
Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $62.00
issued By: Tfy� Date 06/13/2013
❑ Permit Voided I Parcel Id#1321160000
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 �����✓✓ � �
OtV THF 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 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
�vou are a contractor partic�allnQ in the Permit fee Account Svstem and have adeguate funds, check here
jvou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installadon Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
DATE lU� ����
JOB ADDRESS ��U J �} �U�C�� U�1 I�ECEIVED
OWNER �M i�S S��'�(��'L
corrTU�cTOR__t"1� N��t�r���C.� 1 NC� JUN 12 2013
CHECK 0 ALL APPLICABLE DEPART�IE\T OF
CO�t�tU\ITY'DEVELOP�tEYT
USE CATEGORY 1NSPECTIO�SER1�ices�i���s�ov
'�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas �JElectric �Solid SYSTEM �New �Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED�No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent JS�Other
HEAT LOSS ❑As Approved ❑Existing �lot Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WQRK BEING DONE
I f� L w� I� M.�o-�� �- �P�-���AU3� a<<� r��i �
cL r��,
VALUE(Induding labor and materials)$ ��[QU�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�