HomeMy WebLinkAbout0116805-HVAC (rooftop unit)
~
OSHKOSH
ON THE WATER
Job Address 1850 BOWEN ST
CITY OF OSHKOSH
No
116805
HVAC PERMIT -APPLICATION AND RECORD
Owner
OSHKOSH HEALTH PROPERTIES L TD PF
Create Date 10/17/2005
Plan
Contractor MARX MECHANICAL
I~ Gas I I Oil
Fuel
System n New I
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type r) Chimney A ( ) Chimney B
Heat Loss r ) As Approved . Existing
BTU Rate r ) As Per Plan ( ) Variable
Category 502 - Residential-Both
I~ Electric
I I Solar
I I Solid
~ Replace
U Steam
I I Suppl.
. Direct Vent
íJ Other
U Vent
~ AlC I
I I Con. Burner I
( ) Not Applicable
( ) Not Applicable
. Other
Value
Value
120000 / 5T
Use/Nature omm/ Replace RTU - EIV provided by Witzke Electric.
of Work
$14,000.00
Plan Approval
$0.00
Permit Fee Paid
$195.00
Date 10/17/2005
Fees: Valuation
Issued By:
0 Permit Voided I
Parcelld # 1519410000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
4535 STATE ROAD 91
OSHKOSH
WI 54904 - 6304 Telephone Number
920-235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OCT. 10.2005
3: 42PM
I,HTZKE ELECTRIC,
1,0. 025
P.1/1
\1\1 ; +-~~ ( eotri G InC.
(Electrical Contractor Name)
¡55 E. "Pôcker Avenue., OshkDsh
(Address) (city)
~
O{tiK,9IH
I (We)
Cit¡>oro.hkosh
Division on",!"",.n ScrYÍc"
115<;"un:hAv<:nuc
PO B., IJ)O
O'1I¥.o,hWI S4$O!.mo
om" ",."..S"!"
F'" !20.¡!6-S0S4
Electric Installation Verification
INT-
(State)
5if<1ol
(Zip Code)
have been contracted to perform electric installation work for /.JiM Me,ð/rJ}¡¡i111
(Name ofparty contracted to)
at the following address: ¡150 &WtiJ Sføli ~;fh$A lidlCd {(Utah. (lJU?Þr)
(Address where work wi11 be performed)
L
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or AJC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power Yente,d
water heater,
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding! somt instaJ1ation, Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances! fixtures.
New circuit for the addition of AlC to a.¡¡ individual dwelling unit (house or ¡he
individual systeœs in a duplex or condominium), including required service
electrical outlets.
Other
5JJo,oõ
The value of this work is $
fj1ereby verify ¡his work wi11 be performed b;¡ aI) employee of this company and ftmher verify
the recoIUJection ! inmJlation will be done in complia.!1ce with manufacturer a11d Electric code
requirements,
~~ ðìQ.9z
(SigIla¡ure of Comp'a.-¡y Officerì
Ii fí\ C) \ '\-
(Print Name of Officer)
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(Da:e)
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