HomeMy WebLinkAbout0102403-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 340 HAWK ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner JON R/MARY T BOYCE
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102403
06/19/2003
Other J
Vent J
Use/Nature SFR/Replace the a/c with a 2.5 ton unit.
of Work
Fees: Valuation
Issued By:
$1,446.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$27.00
Date 06/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number
(920) 235-6510
City o£ Oshkosh
Division of Inspection Services
P.O. Box t t30
Oskkost~,' WI 54903~ 1130'
Phone (920) 236-5050
Fax (920) 236-5084 '
RECEIVED
JUN 1 8 2003
DEPARTMENT OF
CO~,~MUNtTY DEYELO P~~,~t~,~
HVAC PERMIT APPLICATION
All information after bold categories musl be provided.
incomplete appticatim~s will not be processed.
· · Application(s) and fee(s) can be brought to City Hall Room 205 or mailed to Inspect/on Services, PO Box 1128,
Oshkosh Wt 54903-1128. Commencing work without perm/t(s) will result in fees being doubled or $t00.00 plus the
normal permit fee, Which eYer .is greater.
OR
]_f. you are a contractor participating in the Permit fee Accoun! S.¥stem a~d have adequate funds, check here
if you ~,ant this processed H~rough ~our account ~q
ow a
CONTRACTOR
DATE
CitZECK ~ , ~LL APPLICABLE
USE CATEGORY
IEPSingle Fmnily []Duplex
F-1Multi-Famity
nRental
[] Conm~ercial
[]Industrial
FUEL []Gas tEtElectric []Solid
F1Oil [3Sotar
TYPE
l]Forced Air ZlRadiant E]steam Ii~A/C
liS Ctt]~INEY BEING LINED [ENo []Yes ' - L]2q-ER SIZE
Note: Alt clfinmeys shall be sized per the BTU's being vented.
SYSTE~
l]Vent ~Electr/c
[]New tS~l~eplace
E3Other
E]Hot Water IZ]S~ppl.
& MANUFACTURER
[] Con. Burner
ltZEAT LOSS tqA~ Appr0v~d .... ~Existing E]Not Applicable
BTU RATE V1AS Per Plan EtVariable [3Other Value
scm TIO aLL WOrX BEINC
IDChinmey A V1Chinmey B VtDirect Vent FqOther
VALUE (InclUding labor and all materials including light fixtm-es) $ [ L~.. (JO
ti]LECTi?Q[CAL CONTILACTOR .... ~_..~
El For applicable projecls, ai~ Electric Installation Verification ~bnn, si~mxed by the Eleet¥ical Contractor, must be
attached, ti'not attached or not applicable, a separate t~lect~'ical Permit is rcqmrcd,:
9/o2