HomeMy WebLinkAbout2013-HVAC (replace a/c) � CITY OF OSHKOSH No �5ssss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 911 WITZEL AVE Owner JET STREAM CAR WASH INC Create Date 07/12/2013
Contractor MARX MECHANICAL Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel Gas Oil � ✓ Electric Solar ; Solid
System a New J �✓ Replace ' � Other ;
Forced Air Radiant Steam ✓ A/C Vent j
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 � Variable � Other I Value
Use/Nature COMM/replace A/C unit ,
of Work i
**ck#10508"
Fees: Valuation $3,820.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �� Date 07/12/2013
❑ Permit Voided I Parcel Id#0603520100
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ciry of Oshkosh
Division of Inspection Services � :
P.O. Box 1130 �
Oshkosh,Wl 54903-1130
Phone(920)236-SOSU ��
Fax {920)236-_5084 O.IH���
Ut-.7�-I�1�.�P.TFR �
HVAC PERMIT APPLICATION
All inforn�ation afier bold categories must be rrovided.
]ncomplete applications will noi be processed.
� Ap��licaiion(s)and fee(s)can be broughi io City Hall, Room 205 or mailed to ]nspection Services, PO Box 1128,
Oshkosh W1 54903-1 128. Commencing work withoui permit(s)will result in fees being doubled or$]00.00 plus the
normal pennit fee,which ever is greater.
OR
/ryou are a contractor participaling in ihe Permit fee Accounl S>>slem a��d hai�e adeyuale funds, check here
if vou wunt this processed throuQh vour accoui�� �I
**Advisory-For applicabie projects, an Electrica.l Installation Verif cation(EI�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 �' ��13
JOB ADDR�SS � � � IN� I Z_C�_ �V�
OWNCR Vt'� 5112-��� �.�'YL,V.;I�r)
CONTRACTOR �r��'x N,echanical, Inc
CH�CK E(ALL APPLICABL�
USE CATEGORY
�Single Fainily ❑Duplex ❑Multi-Family ❑Rental flCommerciai ❑lndustrial
FUEL ❑Gas �Electric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Otl�er
TYPE
❑Forced Air ❑Radiant ❑Steam L�A/C ❑ti'erit �Electric OHot Watcr ❑Suppl. ❑Con. Burner
1S CHIMN�Y BrING LINED�No ❑Yes -L1NER S1ZE _ �.MANUFACTURI;R__
Note:Al)chimneys sliall be sized per the BTU's being ventc:ci.
CHIMN�Y TYPE ❑Chimney A ❑Chimney B ODirect Vent llgOther
HEAT LOSS ❑As Appr�ved ❑Lxisting f�Nut Applicable
I3TU RAT� ❑As Per Plan �Variable ❑OtLer Value
llLSCR1PTION /SCOP�Or ALL WORK B�ING DONr
��.�.� f�(� w��-� ��vNOx Moo�z Ts� u�o S�o�l F�T�
' c �,
VALU�(Including labor and mate►•ials)$ �0� _ ___
EL�CTRICAL CONTRAC7'OR(for projects not requiring an EIV I'o►•m) �f� ��t���'���
07/0�