HomeMy WebLinkAbout2006-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1121 RUGBY ST
CITY OF OSHKOSH
No
117803
HVAC PERMIT -APPLICATION AND RECORD
OWner
TONI M BOUWMAN
Create Date 01/06/2006
Plan
Contractor MARX MECHANICAL
Fuel 1,(1 Gas
System n New
U Forced Air
I 1 Electric
Chimney Type . Chimney A
Heat Loss r ) As Approved
BTU Rate r ) As Per Plan
Category 500 - Residential-Heating & Ventilating
1 I Oil
I 1 Solar
1 I Solid
U Radiant
1,(1 HotWater
1 I Electric
PI Replace
U Steam
I 1 Suppl.
n Other
U Vent
( ) Chimney B
. Existing
() DirectVent
U AlC I
1 I Con. Bumer I
( ) Not Applicable
( ) Variable
( ) Not Appllcabie
. Other
Value
0
Value
Use/Nature FRI Replace boiler with Weil Mclain CGa-4 - EIV provided by Beez Elect.
of Work
Fees: Valuation
$3,243.00
Plan Approval
$0.00
Permit Fee Paid
$54.50
Date 01/06/2006
Issued By:
0 Permit Voided I
Parcelld # 1305860000
In the performance of this work, I agree to perform all work pursuant to ruies goveming 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.
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9202317255
BEEZ ELECTRIC
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Electric Installation Verification
(I) (We) Beez Ele,ctric. Inc.
2951 S. I)akwood Rd.
Oshkosh
WI
54904
have been contracted to perform elec1ric installation work for Marx Mechanical.
at the fonowing address: 1121 Ru2bv Street
The nature of the work consists of: (Check One or Describe the Nature of Work)
0
0
0
Reconnection or new circuit for replacemept Heating Plant and/or AlC Condenser,
RecoMII::ction or new circuit for replacement Elec1ric Water Heater,
Reconrlection of the Service Entrance Cable, Meter Box, alterations to receptacles find
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables -will require a separate permtt.
ReconIl:ection or new circuit for other permanently wired appliances I fixtures.
Other -.-
0
0
The value of this work is $250.00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation win be done in compliance with manufacturer and Electric code
requirements.
~~
(Signature of Company Officer)
Galy BiesÍlli!er
0l/O4/0€,