HomeMy WebLinkAbout0157133-HVAC (replace baseboard covers) � CITY OF OSHKOSH No 157133
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 215 N WESTFIELD ST Owner GABRIELS VILLA INC Create Date 08/09/2013
Contractor MARX MECHANICAL Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New I � Replace i � Other I
Forced Air Radiant Steam A/C Vent �
Electric ✓ Hot Water Suppl. Con. Bumer
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature COMM/replace baseboard covers
of WorkI
f'ck#10577" I
I
I
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �1ih Date 08/09/2013
❑ Permit Voided i Parcel Id#0611490000
In the performance of this work, I agree to pertorm 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 specifed 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 1 l30 �
Oshkosh,Wl 54903-1 l30
Phone(920)236-5050
Fax (920 j 236-5084 �rH���
���
Qir'T�-li 1!.�ATEF
HVAC PERMiT APPLICATION
All inforniation afrer bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brou�hi to City Hall, Room 205 or mailed to Inspection Services,PO Box 1 128,
Oshkosh W1 54903-J 128. Commencing work withoui permit(s)will result in fees being doubled or$100.00 plus the
normal pennit fee,which ever is greater.
OR
/L>>ou are a con�raclo�� pa���icrpating in the Pern�i� fee Account Sysient and laai�e adeyuale funds, check here
if vou wai�t this processed il�rough vour account n
** Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations�allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be
processed for Permit Issuance and will be retumed for completion.
DATE �'-�J�"_I�
JOB ADDRESS �� � � w�l��� O S'I-
OWN�R L_��f�2���I I-I�/1'lt�
CONTRACTOR r:�-rx I�echanical, Inc
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Fa»lily ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL l�Gas ❑Electric ❑Solid SYSTEM ❑New 1�2eplace
OOiI �Solar ❑Other
TYP�
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Veni ❑�lectric �P]-�ot Water ❑Suppl. ❑Con. Burner
1S CI�I111N�Y BEING L1N�D Q�l�lo ❑Yes -L1NTR S1ZB &MANUFACTURER
Note: All chimneys sliall be sized per the B7�U's being ventcd.
CHIMN�Y TYPL ❑Chimney A ❑Chimney B ❑Direct Vent '�4bther
I�EAT LOSS �As A}�pr�ved f7Lxisting [�Not Applicable �
l37'U RATL C�As Per Plan ❑Variable �Other Value
llrSCRIPTION /SCOP� OI+ALL V1'ORK B]�ING DONE _ '
��Pl�z ����� C�U�-s
� W
VALUE(Including labor and materials)$ ���� � _ __
EL�C1'12ICAL CONTRACTOR(for projects not requu•ing an EI V Form)
o�/o�