HomeMy WebLinkAbout0099596-HVAC (replace rooftop unit)OSHKOSH
ON THE WATER
.lob Address 35 WISCONSIN ST
Contractor MARX MECHANICAL LLC
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 CITY OF OSHKOSH
Category 512- Ind. & Comm-Both
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
99596
01/27/2003
Other
Vent J
Use/Nature COMM/Replace rooftop heat/cool unit with a 5 ton unit.
of Work
Fees: Valuation
Issued By:
$6,335.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$0.00
Date 01/27/2003
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 of Oshkosh
Division of Inspection Services
P.O. Box 1130
Ostnkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
Alt information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing 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 participating in the Permit fee Account System and have adequate _funds, check here
if.you want this processed through your account ~]
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family
IElDuplex []Multi-Family []Rental l~Commercial IDIndustrial
FUEL 121Das r-lElectric FlSolid SYSTEM ElNew JgkReplace
F1Oil I-qSolar F1Other
TYPE
EtForced Air [qRadiant IqSteam FIA/C F1Vent F1Electric F1Hot Water F1Suppl. I--1Con. Burner
IS CHIMNEY BEING LINED F1No [2]Yes - LINER SIZE
Note: All c.hi=meys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS [21As Approved FIExisting F1Not Applicable
BTU RATE F1As Per Plan F1Variable F1Other Value
DESCRIPTION OF ALL WORK BEING DONE ~x~'~0~¢ ~07]'tDf)
[2]Chimney A F1Chimney B I-1Direct Vent FlOther
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not atlached or not applicable, a separate Electrical Pernfit is required.
9/02
oi/2~/2~ o~ 30 ~202~1725~ BEEZ ELECTRIC PAGE
Electric Installation Verification
~2! W I2th Osh~ ~ 5..4.902
have been contracted to perform electric ~nstallatien work fvr Marx M~cha~ical Inc,,
at the following address: 3 5 Wiscons~u St,
The nature of*he work consists of: (Check One or Describe the Nature 0fWork)
Keconnection or new circuit for replacement Heating Plant and/or A/C Conder~er.
~econnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles trod
l[ghtin$ ~xtures due to siding / soffit ir~tailation. Note: New Service Entrance Cable~
will require a separate permk,
Keconnection or new circuit for other permtmently wired appliances / f~mures,
Other
The value of this work' is $!50.00
hereby veri~ this work will be performed by an employee ¢fthi$ coTnpa~y and Mrther verify the
reeoa,.neetion / ~mtallation wilt be done i,n eompli}mce w~th mmlufi~.om?er aM Electric code
(Si.gnarure of Ccr:.lpany OCficcr)