HomeMy WebLinkAbout0105434-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1320 CLAYTON CT
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 D & F INVESTMENTS OF OSHKOSH LLP
Category 500- Residential-Heating & Ventilating
L~ 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
105434
11/21/2003
Other
Vent J
Use/Nature MULTI-FAMILY/Replace boiler with 2 = Weil McLain CGa-7.
of Work
Fees: Valuation
Issued By:
$7,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$117.50
Date 11/21/2003
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
Agent/Owner
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.
Cily of Oshkosh
Division o£ Inspection Services
P.O. Box ] ]30
Oshkosh, WI 54903-] ] 30
Phone (920) 236-5050
Fax (920) 236-50g4
HVAC PERMIT APPLICATION
All inforn-~tion after' bold categories musl be provide&
Incomplete applications will not be processed.
Q/HKO/H
· Application(s) and fee(s) can be brought to City Hail, Room 205 or nzai]ed to Inspection Services, PO Box l 128~
Osl~osh WI 54903-1128. Co~mnencmg work without pem~t(s) will result in f~s being doub}ed or $100.00 plus the
normal pemxil ~ee~ wt~ch ever iS g~eater.
OR
~Fou are a conZroclor poriicipolh~ in the Permil fee Accou~i Svxlem a~d hove adequoie /u~ds. chec/¢ here
~¥ou won~ ~hi~ proce.%~ed zhrou~l~OUr accounl ~
C~CK ~ ~L ~PLICABLE
USE CATEGORY
U1Singte Fmnily C1Duplex ~iVtulti-Fmnily
[2Rental 12 Connnercial IZth~dustrial
FIYEL li~ Gas [2Electric [2Solid SYSTEM [2New ~Replace
[2Oi] U1So]m- [2Other ...........
TYPE
[JForeed Air ~l~adiant [2Steam [2A/C FDVent [2Elecl,5c ~I~{ot Waler iDSuppl. 13Con. Burner
1S Clt~]'xq,;Y BEING LINED ¢igNo [iVes - LEN~P, SIZE .......... & MANUFACTUYG'JR ..............
~ole: Ail chmm% .. shall be sized per the B'I'[J's being vented.
CIt].hiNEX TYPE lDChinmey A []Chmmey B []Direct Vent
~AT LOSS ~As Approved []Existing E]Not Applicable
BTU ~TE DAs Per Plan ~Va:iable ~Otber Value
EL O:mC CoxTr CTOR 6q
For applicable projects, an E]cc~zk~ Installation VmSficalion form, signed by the Elec~ ica] Coni~-actor, must be
a~tached. If not allached or not applicable, a separate Electrical Permit is required.