HomeMy WebLinkAbout0103202-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2050 2060 S KOELLER ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner M & E RENTALS LLC
Category 501 - Residential-Air Conditioning
Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
~ Solid
103202
07/30/2003
Other ]
Vent
Use/Nature COMM/ #2050/ Add 1 Lennox 4ton A/C unit.
of Work
Fees: Valuation $3,372.00 Plan Approval $0.00 Permit Fee Paid $56.00
Issued By: Date 07/30/2003
Permit Voided
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
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 5~90~'-i
Phone (926) 23625050
Fax (920) 236-5084
[? gECEIVED
JUL 2 8 2003
HVAC PERMIT
mfom'mfion after
incomplete applications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkosh WI 54903-I 128. Commencing work without penmit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in zhe Permit fee Account System and have adequate funds, check here
if you want this processed ~hrouf~h ~;our account [-]
DATE d - c:Q'-~::~ --0 ,..~
JOB ~a~)m~SS ,¢0 S'O ~. 7.0e:q...t..FX ~D
CONTP,~CTOn ~lPr&V~ ~4F1]A4~V3icP~
CtiECK I~I ALL APPLICABLE
USE CATEGORY
[] Single Family F-IDuplex E]Multi-Famity
FIRental I~ Commercial [2IndustriaI
FUEL 12Gas ~Etectric nSolid SYSTEM ~New FqReplace
[lOll [] Solar []Other
TYPE
EIForced Air []Radiant []Steam I~IA/C []Vent •Electric ~Hot Water []Suppl. []Con. Burner
I8 C}tI31NEY BEING LINED I~No E]Yes - LINER SIZE
Note: All chin'meys shall be sized pe~ the BTU's beh~g vented.
& MANUFACTURER
CltI1VINEY TYPE
Il]EAT LOSS
BTU RATE
E]Chimney A
I-lAs Approved
~As Per Plan
ID Chimney B
E]Existing
FIVariable
E]Direct Vent
IDNot Applicable
[]Other Va~ue
[]Other
DESCRIPTION OF ALL WORI~ BEING DONE
_ W To~ A-lC ~)td~'r'
VALUE (Including labor and all n,mterials including light fixtures)
ELECTRICAL CONTRACTOR__ ~
U For appli¢able projects, an Eiech'ic Installation Verification form, signed by the Electrical Conlractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh; WI
Phone (921J~ 23615050
Fax (920) 236-5084
V/ ECEIVED
JUL 2 8 2005
HVAC PERMIT/[E~Ki~
Ali information a£ter
h~ ~{h~CNN-~B~CF~t.~Oi~fENT
Incomplete applications will not be processed.
Q/HKO/H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect/on Services, PO Box I 128,
Oshkosh WI 54903-1128. Cormnencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor parlicipatD~g Dz lhe Permit fee Account System and have adequate f~ds, check here
if you want this processed through your accou~*t
~OB XOD~SS 0-0 S'0
OW~R ~4 v C g, eNmL~
CO~T~CTOR
CFFff, CK [] ALL APPLICABLE
USE CATEGORY
DSingle Fmnily l]Duplex
DMulti-Family I--1Rental
l~lCommercial
FllndustriaI
FUEL l'q Gas l~Electric DSolid SYSTEM I~lNew nReplace
FqOil []Solar DOther
TYPE
fi]Forced Air fi]Radiant []Steam IBA/C nVent DElectdc DHot Water nSuppl. []Con. Burner
IS CItlMNEY BEING LINED 5~No fi]Yes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTUP,~R
CI-1IMNEY TYPE
H]EAT LOSS
BTU RATE
[] Chimney A
[]As Approved
~As Per Plan
E]Chi~rmeyB
C]Existing
l~Variable
DESCRIPTION OF ALL WORK BEING DONE
fi]DirectVent
DNotApplicable
~OtherVa!ue
mOther
VALUE (Including labor and all u~aterials including light fixtures) $ ~_~_~o~ - 0 0
~ Eot applicable projects, an Electric Installation Yerifcation form, signed by the Electrical Conlrsctor, ~aust be
adached. I£not attached or not applicable, a sepm-ate Elect]ical Permit is required.
9/02