HomeMy WebLinkAbout0158484-HVAC (boiler) � CITY OF OSHKOSH No 158484
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 10/15/2013
Contractor MARX MECHANICAL _ Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas I Oil� Electric Solar �' Solid �
System �New � ✓ Replace I Other I
Forced Air Radiant �� Steam � A/C ' Vent
� � � � �----
Electric �i ✓ Hot Water J �_Suppl. Con. Bumer�',
Chimney Type ChimneyA � Chimney 6 � Direct Vent � NotApplicable �
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other _J Value _ _
�
Use/Nature iC�OMM/replace the boiler with(3)NTI model TFT300 modulating fire-tube boilers j
of Work ' I
"'ck#10707"
,
-- -- --- -- - - - _�
Fees: Valuation $62,000.00 Plan Approval $0.00 Permit Fee Paid $509.00
Issued By: ��� --- Date 10/28/2013
❑ Permit Voided I Parcel Id#0611430300
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 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 ���
or�rNF wnTe�
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
lncomplete applications will not be processed. .
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
norma] permit fee,which ever is greater.
OR
1(you are a contractor participatin� in lhe Permit fee Account Svsiem and have adequate funds, check here
if vou want this Qrocessed throu�your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installarions�allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications submitted without an EIV when such is reqnired,will not be
processed for Permit Issuance and will be retarned for completion.
DATE �O'"( I- 1�
JOB ADDRESS �� � WrS i�=t r'v� �E��� '
Si-
OWNER L��-t�c-�1 -ftflm�� c��= �st tk-�s��� OCT 14 2013
CONTRACTOR N,arx P�echanical� Inc
DEPARTI►1�:�7 OF
CHECK 0 ALL APPLICABLE C0�1�IU�ITY�E�'ELOP�1EyT
INSPECTIO�SER�'��ES Di�'1SlOy
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New f�Replace '
�Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric I�Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER S17E &MANUFACTURER_ __
Note:All chimneys shall be sized per the BTU's being vented.
CHIMN�Y TYPE ❑Cliimney A ❑Chimney B l�Direct Vent ❑Other
HEAT LOSS ❑As Approved L�Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DON� ���� �L �I l-t� W��S
3 NT� M�o��t.. rFr�uo MoDu�P-��►�Cr �t�-�- 1ix3� ��ic.�u
� W
VALUE(Including labor and materials)$ �+'�������� '
ELEC7'RICAL CONTRACTOR (for projects not requiring an EIV Form) _ ___ _
o�/o�