HomeMy WebLinkAbout0158571-HVAC (furnace) �
� CITY OF OSHKOSH No 158571
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1112 W NEW YORK AVE Owner 1112 W NEW YORK AVENUE LLC Create Date 11/01/2013
Contractor MARX MECHANICAL Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas I Oil Electric Solar Solid
System New J ❑ Replace ___� Other I
✓ Forced Air Radiant � Steam A/C 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 As Per Plan � Variable � Other Value 90,000 BTU input
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Use/Nature Replacing furnace I
of Work �,
'Paid with check I
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Fees: Valuation $2,790.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 11/01/2013
� Permit Voided I Parcel Id#1204110000
In the perFormance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
City of Oshkosh �
Division of Inspection Services
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O,1HI�C��H
O'rt THF\VATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the
normal permit fee,which ever is greater.
OR
1(YOU are a conlractor�arliCipatfng in the Permit 1'ee Account Svstem and have adepuate funds, check here
if vou �vant this processed throuQh �,our account 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 without an EIV when such is required, will not be
processed for Permit Issnance and will be retumed for completion.
DATE �O-_��S - (�
JOB ADDRESS y l �� V�� ���1 `,l�'�"�� ��'
OWNER ����'v���� P 1��C�(�r`YZ�I�I t'�
CONTRACTOR riarx l�echanical� Inc
CHECK 0 ALL APPLICABLE
USE CATEGORY
f�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New f�PReplace
❑Oil ❑Solar ❑Other
TYPE
"�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water �Suppl. ❑Con. Burner
IS CHIMNEY B�ING LINED ❑No �'es - L1NER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being ventcd.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �Direct Vent C.]Other
HEAT LOSS ❑As Appmved �Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable �Other Value CI�Ul�t1 ��� INP�i
llESCRIPTION/SCOPE OF ALL WORK BEING DONE IZ-L'�Vi�Z �tt �-1X1_,Nf�f� w i Tti
�t3�N�� CVr� �Z�g�uE�o`io �'3ba t.sp�lo �t�,at
VALUE(Including labor and materials)$ �� � �- `'�_
ELECTRICAL CONTRACTOR(for projects not requiring an EN Form)
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