HomeMy WebLinkAbout0156187-HVAC (a/c) � CITY OF OSHKOSH No 156187
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 317 W 14TH AVE Owner GREGORY J GEHRKE Create Date 06/14/2013
Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas ; Oil .i Electric Solar Solid
System � New j �✓ Replace � � Other I
Forced Air Radiant Steam ✓ A/C � Vent
Electric i Hot Water , Suppl. Con. Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replace A/C
of Work f �
�""check#10447'•'•• I
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Fees: Valuation $2,500.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: �� Date O6/14/2013
❑ Permit Voided I Parcel Id#0904450000
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 activiry.
Signature Date
AgenUOwner
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. 3
Ciry of Oshkosh
Division of Inspection Services �
P.O.Box ]130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 �O�H
� 4J H
HVAC PERMIT APPLICATlON
All information after bold categories musi be provided. �UN 1 3 Z�13
Incomplete applications will not be processed.
• Applicaiion(s)and fee(s)can be brought to City Hall, Room 205 or mailed to ]nspection Se�P.e�,TFf���1128,
Oshkosh Wl 54903-1 128. Commencing work without permit(s)will resuli in fees b���F �. �,�����S�Q�the
normal pennit fee,which ever is greater.
OR '
If vou are a contractor narticipati� in the Pe�-nait fee Accoun� Sysiem and have adequa�e funds, check here
rf vou i��ant lhis processed through vou�� accou�al n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations�allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issnance and will be retumed for completion.
DAT� \'J������
JOB ADDRESS �� � W I ��� fi�v�
OWNCR ��l�l�`I '� SU�Z �NI�,� 17��-��
CONTRACTOR N�.rx Nechanical, Inc
CHECK 0 ALL APPLICABLE
USE CATEGORY
�5ingle Family ❑Duplex �Multi-Family ❑Rental ❑Cominercial ❑Industrial
FUEL �Gas t�lectric ❑Solid SYSTEM ❑New (�Replace
❑Oil ❑Solar ❑Other
TYPE
DPorced Air ❑Radiant ❑Steam �/C ❑Vent ❑l�leciric ❑l�ot Water �Suppl. ❑Con. Burner
IS CHTI9N�Y B�ING LINED �lo ❑Yes - LINCR SIZE &MANUi'ACTUTZ�R_ _
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B f�Direct Veni �40ther
H�AT LOSS ❑As Appmved (7�xisting [�.Not Applicable
B'TU RA7'E ❑As Per Plan (7Variable �Other Value c�'1 �� _
DESCRIPTION /SCOP� OF ALL WORK B�ING DONr ����C t� P�"I C- W ��
�L'�l N Dk- I'"t � I 3�f',k 0�t�
��C1:'
VALUE(Including labor and materials)$ ;
ELrCTRICAL CONTRACTOR (for projects not requiring an EI V Form)
o�/o�