HomeMy WebLinkAbout0158552-HVAC (furnace) x
/�"� CITY OF OSHKOSH No 158552
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1726 DELAWARE ST Owner GREGORY C ILK Create Date 10/30/2013
Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil �, Electric Solar Solid
System � New _� �✓ Replace __� Other
✓�Forced Air �Radiant _Steam A/C � Vent
Electric Hot Water I SuppL Q Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable I
Heat Loss As Approved � Existing � Not Applicable Value _
BTU Rate As Per Plan � Variable � Other -� Value
Use/Nature SFR/replace furnace
of Work I,
'*ck#10743" !
�
-- - �
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: � Date 10/30/2013
� Permit Voided 'I Parcel Id#1406050000
In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�
;
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,W] 54903-1130
� Phone(920)236-5050
� Fax (920 j 236-5084 ���--���
�� ;
- Gi�1 THF 1i'P.TFF
HVAC PERMIT APPLICATION
; All inforn�aiion afier bold categories must be provided.
Incomplete applications will not be processed.
� Applicaiion(s)and fee(s)can be brought to City Hall, Room 205 or mailed io Inspection Services, PO Box 1]28,
Oshkosh W1 54903-1 128. Commencing work without permit(s) will result in fees being doubled or$]00.00 plus t)le
normal pennit fee,which ever is greater. ,
OR ':
IJvou are a conlraclor pa��licipa/ing in the Pe�•mil fee Accounl S>>slem and hai�e adeyua�e funds, check herc �
��vou wanr this processed ihrough vour accounl 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 submitted
with the permit application. Applications submitted withont an EIV when such is required, will not be
processed for Permit Issuance and will be retumed for compledon.
DAT� �O"-��13 `
JOB ADDRESS ���"�' �t� ����-� �1
����I�ED '
OWNER C��Z'�!� �'I (�Z �I��TC � �-I�� i
CONTRACTOR rrarx l�echanicai, Inc OCT 2 9 2013
CHECK E1 ALL APPLICABLE �ev,�k�r�re:er oF
C0�1�fFJ\IT�'�?E�'E3.OP�fE:VT
USE CATEGORY iNSPFET((�'�`E"°''�'�S Di�'ISIOV
l�Single Fan�ily ❑Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
FUEL �ias ❑Electric ❑Solid SYSTEM ❑New �Replace
❑Oil �Solar ❑Other
;
TYPE
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑�leciric ❑I�ot Waier ❑Suppl. ❑Con. Burner
i
1S CHIn9N�Y B�ING LIN�D ONo �Yes - L1N�R SIZE �3t� &MANUFACTUR�R F �lk �_
Note:A)1 chimneys sliall Uc sized per the BTU's being ventcd. �
s
CHIMNEY 1'Y3'� ❑Chimney /� ❑Chinlney B [�'Direct Vent C�Other ±
�
HI?AT LOSS ❑As Appr��ved �J'Cxisting ❑Not Ap��l;cable ;
13Tll RATE ❑As Per Plan ❑Variable �Other Value "�I 1��U0 ����'� 1���_� E
ll �.SCR1PTlON /SCOP� OP'ALL WORK B�ING DONE �
��l�i`\f�t� I��►2-(�.►i�Ci� w���� �-�'1�1N1>`� � �Z,2�ll�l.�tl O�iD k � �bC�-U�-j �
�.��.�� ���� +���C� � ��
_ — t
' n �,�
VALUE(Including labor and materials)$ �-I��� ` _.
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�