HomeMy WebLinkAbout0158554-HVAC � CITY OF OSHKOSH No 158554
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 505 519 KNAPP ST Owner ST JUDE THE APOSTLE PARISH CORP Create Date 10/30/2013
Contractor MARX MECHANICAL _ Category 512-Ind.&Comm-Both Plan AA7-3839-0713H
Inspector Nicole Krahn '
Fuel ✓ Gas � Oil _� Electr�, Solar ' Solid
System New J ✓ Replace _ �I � Other �
✓ Forced Air �, rnRadiant j Steam ✓ A/C � Vent �
— �! --- �� Q
Electric �' Hot Water � Suppl.� Con. Burner ;
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing 0 Not Applicable Value
: BTU Rate As Per Plan � Variable � Other � Value 135,000 input each
Use/Nature OMM/ST JUDE THE APOSTLE PARISH CORP/Remodeling the existing gym to create an assembly area to include a kichen, �
of Work bathrooms,storage area and gathering/assembly area per the plans submitted. **check#10742 i
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Fees: Valuation $13,480.00 Plan Approval $0.00 Permit Fee Paid $214.00 :
Issued By: (� Date 10/30/2013
� Permit Voided I Parcel Id#0606630000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified othervvise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
���i-~
c�cy aros}�kos�,
Division of Inspection Services �
P.O.B�x 1 l 30 �
Oshkosh,W] 54903-1 130
1'hone(920)236-5050
Fax (92,0)23G-5084 C�1HKC��
� O;v THF 1!dP.TFR
HVAC PERMIT APPLICATION
Al] inforn�ation after bold categories must be provided.
Incomplete applications will not be pr-ocessed.
• . • Application(s)and fee(s)can be brought to Ciiy 1-lall, Room 205 or mailed to lnspection Services, PO Box l 128,
Oshkosh W1 54903-] ]28. Commencing work withoui permit(s)will result in fees being doubled or$]00.00 plus�
nonnal pennit fee,which ever is greater. ,
. OR
/f you are a conlracloi• participating in 1he Permil fee Account Sj�s�em ai�d ha>>e udeuua�e fu��ds. check hc�
iJvou i��ant rhis processed throu�vour accoun� (—I
**Advisory-For applicable projects, an Elecbrical Installation Verification(EI�form, signed by the Electri�
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.
J�S K'�-'t1�P '� DAT� ��" �"5� �'�
JOB ADDRESS l�� J �i ��-- �^���— 1�ECEIVEI)
OWNGR ���'I(�r �I�' 1�'O�1Z�� ��{'��{
•�• CONTRACTOR �r�-rx l�echanical, Inc OCT 2 9 2013
S➢EFAFtT;11ti.'e't OF
CHECK 0 ALL APPLICABLE C0�1\tL'�YTX UEVELOPb7ENT
INSPECTIOti��,F?�'?CES Dn7SiON
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental [�omn�ercia] ❑Industrial
FUEL ��"ias ❑Electric ❑Solid SYSTEM �New �Replace
❑Oil ❑Solar ❑Other
TYP� `
I�Forced Air ❑Radiani ❑Steam �A/C ❑Veni ❑�lectric ❑Hot Watei• ❑Suppl. ❑Con. Burner
IS CHIMN�Y BEING LIN�D�7No ❑Yes - L1NER SIZ� &MANUFACTUR�R
Note:A11 chimneys sliall be sized per the B7'U's being ventcci.
CHIMNEY TYPL ❑Giimney A ❑Chimney B �Direct Vent fJOther
1�P',AT LOSS ❑As Appr��ved V�Lxisting ❑Not App':icable
13T11 RAT� ❑As Per Plan [7Variable �OtLer Value_._ �•�UO INPL�(7 ��C�}l
llESCR1PTION /SCOP� OI+ALL VVORK BLING DONr_ _
!� ��� a t�� � �=LUt���e,.�� i�--_U� �z c.2�r11 f�L.��fi , Fe[�-�� �a vv��
� a-G�-T-�� �o_Q�) �-�rL �-= L�r������ N10�Q�,/ � � -l`l S�r H i 3� ���,��_e�1 ;
� �_ .�'��a�_ �`��e��e �_ '� I3�1cx- ot�o_ .�`�t�, R r I� r�� tS --
VALUE(Including labo►•and materials) $ j 3���(� . � _ _
EL�CTkICAL CONTRACTOR(for projects not requiring an EIV Form)
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