HomeMy WebLinkAbout0156885-HVAC (a/c) � CITY OF OSHKOSH No 156885
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1030 W 19TH AVE Owner CAROL A HOREJS Create Date 07/25/2013
Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas ' Oil Electric Solar Solid �
System ❑ New � ✓�Replace � Other
Forced Air � Radiant � Steam i ✓ A/C I 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 p As Per Plan � Variable � Other I Value
Use/Nature SFR/replace A/C
of Work
'*ck#10537"
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Fees: Valuation $2,700.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: �� Date 07/25/2013
❑ Permit Voided j Parcel Id#1311550000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services �
P.O.Box l 130 �
Oshkosh,W 1 54903-1]30
Phone(92U)236-5050 ��
1=ax (920)236-5084 ���
('J":7Hf�V�:'P,TFR �.
HVAC PERMIT APPLICATION
All inforn�ation afier bold categories must be provided.
Incomplete applicaiions will not be processed.
• Applicaiion(s)and fee(s)can be brought to City Hall, Room 205 or mailed to ]nspection Services, PO Box ] 128,
Oshkosh WI 54903-1 128. Commencin�work withoui permit(s)will result in fees being doubled or$]00.00 plus the
normal pennit fee,which ever is greater.
OR
!f��ou are G C017II'pC'IO�GYIICI�7G11Y1� 117 the Permi�jee Account S'��s�em and have adepua�e fu�ads, check here
rf vou i��anr �his processed lhrouQh vour account I—I
** Advisory-For applicable projects, an Electrical Installation Verification(EI'�form, signed by the Electrical
Contiractor or Homeowner(for installations�allowed to be performed by the homeowner)must be subxnitted
with the perimit applicafion. Applications submitted without an EIV when such is required, will not be
processed for Perm.it Issuance and will be retumed for completion.
DAT� �'' I�-13
JOB ADDRESS ��3� W �n►`1�►'` �J�s
OWNCR C�-ljl.. L-�o12�SS
CONTRACTOR �fa�'x Nechanical, Inc
CHECK L�!ALL APPLICABLE
USE CATEGORY
C�Single Family ODuplex �Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas �Electric ❑Solid SYSTEM ❑New �Replace
❑Oil OSolar ❑Other .
TYP�
❑Forced Air ❑Radiant ❑Steam �A/C ❑Vent OElectric �Hot Water ❑Suppl. ❑Con. Burner
lS CHIMN�Y B�ING LIN�D i�No ❑Yes -LiNrR S1ZE &MANUTACTUR�R
Note: All chimneys sliall be sized per thc BTU's being ventcci.
C1�IMNEY TYPE ❑Chin�ney A ❑Cilimney B 1�DirecY Vent C�Other �
HEAT I.OSS ❑As Appr�ved ❑Lxisting [�Not Applicable
I3TU RATI�, CIAs Per Plan ❑Variable I�Other Value
llESCR1PTlON /SCOP�OI+ALL WORK BCING DONr ��pIACC ��_ ��ti�� _
���(�o k a`�a- ��1 c-o Nh����o� �—
. �
VALUE(Including labor and materiais)$ a� ��_
ELECTRICAL CONTRACTOR (for projects not requiring an EIV l�orm)
o�/o�