HomeMy WebLinkAbout0123903-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 605 MASON ST
CITY OF OSHKOSH
No
123903
HVAC PERMIT -APPLICATION AND RECORD
Owner PAUL J/PATRICIA WILSON REV TRUST
Create Date 03/23/2007
Contractor MARX MECHANICAL
Fuel U Gas UOil
System ~ New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss U As Approved () Existing
BTU Rate U As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
~ Electric
o Replace
U Steam
I I Suppl.
() Direct Vent
U Solar
~ AlC
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR /Install new central AlC unit. EIV provided by Witzke Electric.
of Work
Fees: Valuation
$2,017.00
Plan Approval
$0.00
Permit Fee Paid
$41.50
Issued By:
~
Date 03/23/2007
o Permit Voided I
Parcel Id # 0606890000
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.
Lh.~'\.>
City of Oshkosh
Division oflnspeciion Services
P,O, Box l130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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!:!HvAc PERMIT APPUCA TION
All infon1latioJJ after bold caiegories must be provided.
Incomplete applications will no1 be processed,
. 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 pennii(s) will result III fees being doubled or $100.00 plus the
Donnal pemlit fee, which ever is greater.
":"',1' OR ',.. .;'" """. .". ..' '. '
If 1'011 are a contractor 7Jarficipatinf! in the Permit fee Account Svst~m 'and have adequate funds. check here
if vou want this processed thrQ1,wh 1I0ur account n
DATE 3-c?-J-01
OWNER
loOS M~SON ~
fPruL' N\LSON
CHECK 0 ALL APPLICABLE
USE CATEGORY
l)9Sillgle Family
DDuplex
OMulti-Family:
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o Rental
o Commercial
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o Industrial
JOB ADDRESS
CONTRACTOR
MARX MECHANICAL INC
FUEL
o Gas
DOi1
~E1ectric DSolid
DS01ar
SYSTEM
llINew
DOther
DReplace
TYPE
DForced Air DR.adiant DSteam ~c DVent DElectric DHotWater DSupp1.
I
. I
IS CHIMNEY BEING LINED DNa DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being veJied.
1 I
CHIl\1N~Y TYPE DChinllley A DChimhey B DDirect Vent DOll1er !
HEA T LOSS DAs Approved o Existing DNot Applicable i
BTU R.A~TE DAs Per Plan DVariab1e DOtber Value 1
DEScrol)TlON OF ALL ,VORK BEING DONE! IN S~ OCNnt-A-L A-lrL c.oN b '
\<e !LNNOY-- ""~ IY'<CO-Or' J.lDN Me. ~D
, .... . .ia '.:. M,AR13 /1-
VALUE (Including labor and materials) $ . eta l (\ ~ U · ., I
~ .' i , ", ..' . 'I ,. I _ : ..' 17- ." ." DEPARTMENT OF
ELECTJ}l<:f\.12:r:?NTRA~TOR V\J.\\1-~ t: ~E~lC.. COMMUNITVDEVELOPMhNT
o For apphcab1e proJects, an Electnc lJ.lstall(:\bOn Venficailon form, slgned by ibe ElectncalContractbl, mus e
a,",ched. If not "",ched 0' not applicable, a sep",'e Electrical Pennit ;s j<quired. " 'f 1f ~ i)'?
\
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& MANUFACTURER
I
DCon. BUrner
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10/04
f'lRR. 22. 2007 11 : 37Rf'\
lHTZkE ELECTRIC
f-10.256
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City of 03ll.kosll
Oivision o{!l1S1leetion ~ces
~ I S Ch\ll'\1b Avmlle
PO BOli 1130
O!l1kcsll WI S4~~'1130
Office 920.236-S0$O
_ F~ !l20.~36,SOg4
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Electric Installation Veriflcation
"
I(JIe) \N~i-tk6 SleorriG InC'
(Electrical Contractor Name)
Dsh wsh
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for fh..t(j /)1lisan (/:i.tlfK JleaA4/I'UI )
(Name ofparty contracted toY
I
l55 E .l'ack;.er Av erJU ~
\;VI..
5t.ft1oi
at. the following address: /dJ5
Htl.S~ s.tr:~
(Address where work will be perfonned)
The value of this work is $
?5'.oo
~~ aOft-
(Signature of Company Officer)
.,-:' fY\ a \ ~
(print Name of Officer)
3--~ :;J""O ?
:(Date)
,
,
1
5102