HomeMy WebLinkAbout0104355-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 312 W 11TH AVE
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner FIRST ENGLISH LUTH CHURCH
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
104355
09/23/2003
Other ]
Vent
Use/Nature SFR/Replace furnace and 3.5 ton A/C at rental property.
of Work
Fees: Valuation
Issued By:
$3,863.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$63.50
Date 09/23/2003
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
Agent/Owner
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.
Cfly of Oshkosh
Division of Inspection Services
P.O. Box l 130
Oskkosh~ WI 54903-1130
Phone (920) 236~$050
Fa× (920) 236-5084
HVAC PERMIT APPLICATION
Ail information after bold categor es must be p 'ovided
Incomplete applications will not be processed.
· App]ication(s) mud fee(s) can be brought to City Ha]], Room 205 or marled to Inspection Services, PO Box 1128,
Oshkosh WI 54903-] 128. Commencing work w~thout pem~it(s) wi1] result h~ fees beh~g doubled or $] 00.00 plus fl~e
no~m] pe~it fee, wl~ch ever is ~eater.
OR
/f l~ou are a contractor parlicipaling i~ the Permil fee Account SFxfem and have adequate fbndm check here
if you wang this processed through ]*our account ~
Ct-rECK lEI ALL APPLICABLE
use CATEGORY
F-ISingle Family IZIDuplex ~Mutti-Fm~xily
ElRental
FUEL ~Gas l~Etect~sc ElSolid SYSTEM
EIOil E]So]ar
TYPE
}~F0rced Air E3Vent []ElechSc
~¢_adim~t E3Steam ~A/C ESHol: Water E]S~q)pl. iDCon. Btxncr
Note: All chinmeys shall Ibc sJzed i:8r the BTU's being vented.
CIt~B~[NEY TYPE
ItEAT LOSS
BTU IL4,TE
fqChinmeyA
DAsApproved
E3As Per Plan
[] Chimney B
[] Existing
[]Variable
E]Direct Vent
E]Not Applicable
E3Other Value
E]Olher
For app]icable projecls, an Electric h:s~atlation Veri~cation form, sidled by the ElectTjca] ContTactor, must be
atlached. If not atlached or not applicable, a separate Electrical Pemfit is required.