HomeMy WebLinkAbout2013-HVAC (furnace & a/c) �
i
� CITY OF OSHKOSH No 156509 €
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1419 W 3RD AVE Owner EDWARD B/JANET A WEISSE Create Date 07/02/2013
Contractor MARX MECHANICAL Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil —� ✓ Electric Solar j Solid
System ❑ New � 0✓ Replace I ❑ Other
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner j
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable I Value _
BTU Rate � As Per Plan � Variable � Other Value
Use/Nature SFR\Repalce AC and furnace
of Work
�
I
Fees: Valuation _ $5,860.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: G��'— Date 07/02/2013
❑ Permit Voided i Parcel Id#0610581300
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�t� V ;
Ciry of Osl�kosh t
Division of Inspection Services �
P.O.Box ]]30 �
Oshkosh,Wl 54903-]130
Phone(92U)23G-5050 �
Fax (920)236-5084 ���OJH
G'u THf 1:'P,TfF
HVAC PERMIT APPLICATION
Al] inforn�ation after bold categories must be provided.
Incomplete applications wil] not be processed.
• Applicaiion(s)and fee(s)can be broughi to Ciiy Hall, Room 205 oi-mailed to lnspection Services, PO Box 1128,
Oshkosh W1 54903-1 128. Commencing work without pei�nit(s)wil] result in fees being doubled or$]00.00 plus the
nornlal pern�it fee,which ever is greater.
OR
/f vou are G CO1711'QC'lOY IJGI"/1C1�JQ11)7� rn ihe Permit fee Accounl S>>siem and hai�e udeyua�e funds, check here
if vou ivunt this process•ed llvou�vour accourat �I
**Advisory-For applicable projects, an Elecaical Installation Verification(EI�form, signed by the Electrical
Con�actor or Homeowner(for installations�allowed to be performed by tlie 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.
DATE �""��'S`���
JOB ADDRESS I`�<< �I `'`� � �'�l RECEI�EI�
OWNER � �I�L� W���SS S -
CONTRACTOR rrurx Nechanical, Inc JUN 2 8 2013
CHECK E1 ALL APPLICABLE DEPART!�1E�7'OF
C0�4�'N1TTY DE�'ELOP�IEYT
iNSPECTIO�SER�'ICES Dt�'ISIOV
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Comi��ercial ❑lndustrial
FUEL �Gas �Electric ❑Solid SYSTEM ❑New �Zeplace
❑Oil ❑Solar ❑Other
TYP�
�Forced Air ❑Radiani ❑Steam I'�A/C ❑Vent ❑�lecti-ic ❑Hot Water ❑Suppl. ❑Con. 13urner
IS CHIMNTY BIsING L1N�D �No �Ycs -L1NER S1ZC � I�9ANUTACTUR�R
Note:All chimneys sliall be sized per the BTU's being ventcd.
CNIMN�Y TYP� ❑Chimney A ❑Cliimney B �Direct Vent CJOther
HI:AT LOSS ❑As Appr�ved �L,xisting �Not Applicable r�
I3'1�U RATL' ❑As Per Plan ❑Variable �Other Value I l l���l�
ll �SCRIPTION /S�OP�OI+ALL WORK 13CING DONr
��P l.�`�C Cs l�t�-N�C'� t � (�_ In��l��f �,��lOx
. W
VALUE(Including labo►•and materials) $ �"�/� � _ ___
EL�C1'RICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�