HomeMy WebLinkAbout0103759-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 606 E MURDOCKAVE
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MUZA METAL PRODUCTS CORP
Category 511 - Ind. & Comm-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
103759
08/27/2003
Other ]
Vent
Use/Nature COMM/Replace 2.5 ton A/C - back shop.
of Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$24.50
Date 08/27/2003
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.
City of Oshkosh
Division of Inspection Services .... · ~ . ~
P.O. Box 1130
Osl~kosh, WI 5~9035i 130
Phone (920) 236-5050'"
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
incomplete applications will not be processed.
O/HKO/H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to haspect/on Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pern-fit(s) will result in fees being doubled or $100.00 plus the
normal pemxit fee, which ever is greater.
J£¥ou are a contractor participatin~ in the Permit fee Zccount System and have adequate funds, check her~
if you want this processed through ~our account ~
Joa
ow a ½wZ ¢
CONTRACTOR
CHECK l~l ALL APPLICABLE
USE CATEGORY
'~.Single Fmnily F1Duplex l-lMulti-Fmnily
r'lRental ~Corrmaercial [2Industrial
FUEL FIGas ~5~Electric ~Solid SYSTEM E]New l~Replace
[SOil }~Solar [3Other
'tYPE
[-JForced Air ~Radiant DSteam ~A/C E]Vent ~Electric E1Hot Water [~Suppl. ~Con. Burner
'IS CHIC[NEY BEING LINED F1No F1yes - LINER SIZE
Note: All clfi~rmeys shall be s/zed per the BTU's being vented.
& MANUFACTUR~JR
CHIMYNEY TYPE DChinmey A DChirm~ey I3 [51Direct Vent [3Other
H~;AT LOSS K~As Apl>roved DExist~g ~Not Applicable
BTU RATE BAs Per Plan ~Variable ~Other Value
E ;E'CTi CX ; 6 rTRACTOr{
For &pplicable projects, an E1 llation Verification form, signed by the Electr[cai
at(ached Ifngt atlached or not appl cable, a sepmate Elec ical Permit is required.
Contractor, must be
9/o2
Electric Installation Verification
(I) (We) B_~e~z ]~Ieetri¢. he.
5_52:kW~ I~ Oshkosh ~ 54902~
have been contraetefl to ped'orm electric installation work for Marx Me~hanicaJ,
the following address: 606 E Murdock Avenue.
The nature of the work con~,sls of: (Cheek One or Describe the Nature of Work)
Reeonneefion or new drcui~: for replacement Heating Plant and/or MC Cond~aser.
R~connecfi0n or new ch'o. fit for replaoemant Ele~ric Water Heater.
Kecon~eefion of the $~vice Entrance Cable, Meter Box, alterations to receptacles ~d
~iag flm~ due m sing / so~t imitation. NOe: New S~%e Em Cables
~I ~e a ~p~ate pe~t.
Reeo~tion or ~ew ~e~t for o~ perm~enfly '~ app~mce~ / fi~ures.
Other
The value oFthls work
I hereby verify t~s work will be performed by an employee ofthls company r~,td gaCther verify the
recormeetton / mstah~t~on w/Il be do :em comphance w~th mmaafacmrer a~d Electric code
requirements.
(Signature of Company
~arg B_i_esing~ 08/21/03