HomeMy WebLinkAbout0158706-HVAC (furnace) � CITY OF OSHKOSH No �ss�os .
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1225 HURON CT Owner WILLIAM/RUTH WAGNER Create Date 11/11/2013
Contractor MARX MECHANICAL _ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas ,i Oil -� � Electric Solar I Solid �
System � New I ✓�Replace
J Other _ J
✓ Forced Air Radiant Steam � �A/C ' Vent
Electric �� Hot Water Suppl. � Con. Burner 'i
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value _
BTU Rate As Per Plan � Variable � Other '�� Value _ 90,000
Use/Nature SFR/REPLACE EXISTING FURNACE •*check#10763 �
of Work
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Fees: Valuation __ $3,830.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: ��('��..J Oate 11/11/2013
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❑ Permit Voided I� Parcel Id#1525780000
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.
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Ciry of Oshkosh
Division of Inspection Services �
P.O.Box l 130 �
Oshkosh,Wl 54903-1]30
Phone(920)236-5050
Fax (920 j 236-5084 ��OJ�---�
ora-rH�v,�P,Tr-�
HVAC PERMIT APPLICATION
All inforn�ation after bold categories must be provided. :
]ncomplete applications will not be processed.
• Application(s)and fee(s)can be Urought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 54903-] 128. Commencing work without permit(s)will resuli in fees being doubled or$100.00 plus the
nonnal permit fee,which ever is greater.
OR �
1/'you are u con/�•aclor narticipating in the Per-mi/ fee Account Svslena und have adequate Tunds, check here
i�vou ia�ant this processed 1hr•oug7� your accoun� n
** Advisory-For applicable projects, an Electrical Installation Verification(EI'V)form, signed by the Electrical
Contractor or Homeowner(for installations�allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Pernut Issnance and will be returned for completion.
DAT� � I�— `�' ��
JOB ADDRESS I ��� ��t'������ �'7
OWNCR V�))l l � 1�'i'Y1 � �_l�11-� G��9��1-l��t"Y�
CONTRACTOR r=arx Nechanical, Inc
CHECK EI ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commei-cial ❑Industrial
FUEL �ras ❑Electric OSolid SYSTEM ❑New �eplace -
DOiI ❑Solar ❑Other
TYP�
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑rlectric C11 Iot Water ❑Suppl. ❑Con. Burner
IS CNIi19NEY BEING L1N�D ONo �'�es -LINLR S1ZC 3� &MANUrACTUTZ�R_ ��<<��__
Note: A11 cl�imileys sliall be sized per ihe BTU's being ventcd. '
CIi1MNEY TYPE ❑CJlimney A ❑Chimney 13 C�Direct Vent C]Other
NEAT LOSS ��As Appr�ved f�Lxisting ❑Not Applicable
BTU RAT� ❑As Per Plan ❑Variable ,�Other Value ��,lk��� �I U 1(�I�Ui
llCSCRIPTION /SCOP�Or ALL WORK B�1NG DONr
���l�� �t h1-l�l►�f�t� vJ� "I�-I � i NN�>k (VI�+ r'2 a-�k� 1��I u q o X U 3��,
f-2�-N�c l�
" p �.�
VALU1,(Licluding labor and materials)$ �Q 3��-
ELGCI'kICAL CON'I'RACTOR(for projects not requiring an EIV J�orm)
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