HomeMy WebLinkAbout0105436-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 412 W 15TH AVE
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner DAVID A HOGUE
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
105436
11/21/2003
Other
Vent J
Use/Nature SFR/Replace existing furnace & add central air conditioning. *EIV form from Slim's Electric.
of Work
Fees: Valuation
Issued By:
$4,918.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$80.00
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.
Oiy of Oshkosh
Division of Inspection Servioes
P.O. Box tt30
Oshkosh, WI 54903-1
Phone (920) 236-5050
Fax (920) 236-5054
HVAC PERMIT APPLICATION
All information after bold categories mus~ be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or ma/led to Inspection Service% PO Box t 128,
Os]~osh Wt 5~903-1128. Commencing work wi0mui pem~t(s)
normal pemx t fee~ wl~ch ever is greamr.
OR
you are a co~racior par~icipolD~ in ~]le Permii fee ~ccou~i S~,slem a~d /~ave adeqfla~e fu~dx, c]~eck here
~f 3;ou want Zhis proce.tsed through your accoun~
CE[ECK lEI ALL APPLICABLE
USE CATEGORY
~83Single Fm~ily t-lDuplex IZ]Mutfi-Fmxxily
l-IR_ental rq Conmxercial IZ]h~dustfiaI
FIJ]&L ~'Gas ~Electric [Z]Solid SYSTEM I~New }~Replaee
[ilOil ~So]ar l~Other_ ~_
t~Forced Air g]Radiant DSteam ~A/C DVent C]Electfic
1S Clt~N]~;Y BEING LINED llNo~ Yes -- L~ER SIZE
Note: All chflxm%,s shM1 bc sized pe~ the 3'1' J's being x'c:nted.
~Itot Water IlSuppl. OCon. Burner
CI~55b,rEY T'~rf>E l~Cbinmey A NChhnney B []Direct Vent DOther
~AT L~SS ~As Apl)roved []Existing [] Not Applicable
BTU ~TE ~As Per Plan ~VafiaNc ~Other Value
ELECTRICAL CONTt'{ACTOR S(~ Jhl ~ ' '
D Fro- applicable projects, an Elcc. trJc Installation Veriff, calion fom~, s~g~ed by the Electrical Com;~ 'aclo,~' mr. st be
at~ached. If not atlsched or noi applicable, a separate Electrical Per]nil is required.
Wi 54904
Marx Mechanical !nc.,.
¢Nm~ of p~ty ~tr~t~ to)
412 W. 15th ave
work will b~ lm'form~ by'~ c~by~ ~F~ ~y ~ ~ ~
,'~/~ David A. Youn~ 1!I12/03