HomeMy WebLinkAbout0158805-HVAC (furnace) /�'� CITY OF OSHKOSH No 158805
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1671 MICHIGAN ST _ Owner VIOLET B BELOW Create Date 11/19/2013
Contractor MARX MECHANICAL Category 500-Residential-Heating&Ventilating Plan
Inspector Joa.AAiw11w ���NC¢ �ra{l.rl --- :
Fuel ✓ Gas Oil Electric J Solar � Q Solid 1
System � New I ✓�Replace ___ , � Other I
✓ Forced Air Radiant � Steam A/C Vent
Electric I Hot Water Suppl. � Con. Burner ',
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable .
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate p As Per Plan � Variable � Other � Value 60,000
Use/Nature Duplex/Replace the furnace for upper apartment
of Work
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II
i
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Fees: Valuation $2,695.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 11/19/2013
� Permit Voided � Parcel Id#1301840000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready. :
Ciry of Oshkosh
Division of lnspection Services �
P.O.Box l 130 �
Oshkosh,Wl 54903-1130
Phone(920)236-5050
Fax (92U)236-5084 C� HI�O H
Ofv THF V:�P.TFR
HVAC PERMIT APPLICATION
All inforn�ation afier bold categories must be provided.
]ncomplete applications will not be processed.
� Applicaiion(s)and fee(s)can be brought to City Hall, Room 205 or mailed to lnspection Services, PO Box 1 ]28, '
Oshkosh Wl 54903-1128. Commencing work without pei-mit(s) will result in fees being doubled or$]00.00 plus t�
normal perniit fee,which ever is greater.
OR `
!f vou ai�e u confraclor pa��licipalinQ in the Permil fee Accoun! Sa�stem and laave udeyuaie funds, check he�
rLyou iva�at this processed through vour account I—I s
. ** Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Elec�ic
Contractor or Homeowner(for installations�allowed to be performed by the homeowner)must be submitted :
with the permit application. Applications snbmitted withont an EIV when such is reqnired, will not be
processed for Pernut Issnance and will be returned for completion.
DATE ���� LI"-� �
JOB ADDRESS �� � � �� � ��t ���"�� � �
I�E�:"EIVED
OWNCR �/'rl�'� C� ��� ��IJ�)
CONTRACTOR ����'� Nechanical, Inc NOV 18 2013
1)EPAiZT1YE�T OF
CH�CK E(ALL APPLICABLE C0.14�1UNI7'Y DEVELOPME:VT
INSPECTt�ti�ER1'?CES DIVISTON
USE CATEGORY
❑Single Family l�'Duplex ❑Multi-Family ORental ❑Commercial ❑Industriai
FUEL �as ❑Electric ❑Solid SYSTEM ❑New 1�iteplace
❑Oil ❑Solar ❑Other
TYP�
'F�Porced Air �Radiant ❑Steam ❑A/C ❑Vent ❑�leciric C7Hot Water ❑Suppl. ❑Con. 13urner
IS CiiTA�iNEY Bl<:ING T.;NED �No ❑Yes - I,1NI?R S17� &1���ANUFACTUIt�R
Note: All chimncys sliall be sized per the 13TU's being ventcd.
CH1MNi�,1' 'I'YPL ❑Chimney A ❑Chimney 13 �]Direct Vent C�Other
HT;AT LOSS ❑As Appr<�ved l�Lxisting ❑Not Applicable _
IiTU RAT� ❑As Per Plan ❑Variable �Other Value ����iUOC� II��U i
llI,'.sCR.IPTION /SCOP�OP'ALL WORK BCING DONTs
K�e���H�1 �li �'�Nr�t''� �C�� ��PP�rz � U��i 7�t-
Qt���ti�����ol�c1 � �C1��, L�(�,uoo 6�i�� INOu i� 9a_ 7� �11=t�� ----
. C I `J
VALUE(lncluding labor and m�te►•ials)$ ��� 1 S� _
ELL+;C`I'KICAL CONTRAC7'OR(for projects not requiring an EIV Form)
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