HomeMy WebLinkAbout0123929-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 817 HAZEL ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner SCHWAB PROPERTIES LLC
MARX MECHANICAL
U Gas
o New
U Forced Air I
U Electric . I
Chimney Type () Chimney A
Category 501 - Residential-Air Conditioning
Contractor
System
~ Electric
D Replace
U Steam
U Suppl.
o Direct Vent
~ AlC
U Con. Burner
. Not Applicable
UOil ~
U Solar
Fuel
U Radiant -.J
U Hot Wate~J
() Chimney B
() Existing
o Variable
. Not Applicable
. Other
Heat Loss
D As Approved
() As Per Plan
BTU Rate
UselNature FR /INSTALL 2 TON CENTRAL AlC UNIT, EIV SIGNED BY SECKAR ELECTRIC
of Work
Fees: Valuation
$1,875.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules 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
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ease
holder(s) and to secure any necessary approvals before starting such activity.
Signature
AgenUOwner
Address 4535 STATE ROAD 91
OSHKOSH
Value
Value
Dat
No
123929
reate Date 03/26/2007
U_ Solid
Other ___J
[]Vent-i
$38.50
Date 03/26/2007
arcelld # 1105570000
ork
ent
WI 54904 -6304 Telephone Number 920-235-6510
To schedule inspections please call the Inspection Request line at 236.5128 noting the Address, Perm t Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo r Name and Phone
Number. Unless specified otherwise; we will assume the project is ready at the time the request is reeived. Work may
continue if the inspection is not performed within two business days from the time the project is read .'
3\\.,,)1)
City of Oshkosh
D i v isi on of Inspecti on Services
P.O. Box] J30
Oshkosh, \VJ 54903-] J30
Phone (920) 236-5050
Fax (920) 236-5084
HV AC PERMIT APPLlCA TION
All infonl1atiOJl ilfter bold ciltegories mUSt be provided.
Incomplete ilppJications will not be processed.
ApplicaLion(s) and fee(s) can be broughlto City Hall, Room 205 or mailed to b.1.SpeCtioll Service, PO Box J] 28,
Oshkosh WI 54903-1128. Conunellcll1g work without pemlit(s) 'will result in fees being double or $] 00.00 plus the
normal pemlit fee, which ever is greater.
OR
If vauare 0 controctor pariicilJatiJ1f! in the Permit fee Accounf Svstem 'and have adequote check here
j( vou wan! rhis p)'ocessed rhrolJgh vow' Qccountn
.
DATE 0--~ -01
JOB ADDRESS R 11
OWNER , ~r-\'v\JKl~
I
CONT~CTOR MARX MECHANICAL INC
i
i
CHECK8 ALl., APPLICABLE
if .
USE CATEGORY
WSiugle family
,
I
FUEL ! DGas
DOil
++A- Le-L. ~T
P (L() P0'l2:T I r""S: -:
ODuplex
o Multi-Family
o Rental
i
o Commercial 0 Idustrial
rnElectric DSolid
DSolar
SYSTEM
lENew ORep] ce
DOther
l
TYPE i
OForced All' DRadiant DSteam IiQA/C oVent oElectric
i
IS CHIMNEY BEING LINED 'KINo DYes - LJNER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
DRat Water DSuppl.
Call. Burner
& MANUFACTURER
I
CHllVlNtV TYPE DChimney A DChiumey B DDirect Vent o Other
HEAT LOSS DAs Approved o Existing oNot Applicable
BTU RArE DAs Per Plan DVariabJe DOtherValue
DESCRIvnON OF ALL YVOHK BEING DONE. _
\N~~L ~CN\\Li).,L lvL WND In oN\ NG--
'(Lt::' Pill vJ (Y\ ~ J.AQJ "?J~J L{ f d- It) N Ij N l\
~ \ 0 n --- LV
V Al--UErlndllding labo~' and mat~ri2Is)$ . ()'l~ .
ELECTRICAL CONTRACTOR ~cP4- l?'LEeX'vt.l L
qFor applicable projects, an Electri~ Installation Verificati~n form, s~g:led by .tbe Electrical
a,ti.acbed. If110t attached or not apphcable, a separate ElectncaJ Penmt 15 reqmred.
I
I
I
I
I
I
i
ontrac~or, must be
i 1010~
FRCif'1
FAX NO. :9205824909
Oct. 12 20"16 11: 44At1 Pi
hI!, 7.2005 2:58PM
inHt~!i()~ SUYICd
N~. 1447 P.
0&
eqo.f.~ .
~d~'SlMt...
:tl5.~~^.. .
ro~ U:If}
,~"1~II>>
dfij,'~$i'40
';,,~
Electric I:ustaIlation Verification
)' (We)
a~(:..~ \ c.
(Elcc~ C.' ot1t1'aCiorName)
.. " .
I
I
'Cj
(Zip ~odt)
I
I
to)
I
I
'thenmurepfmeworX-cQbidsts of: (GbeclcOrie6tDe$ctibe ~Natore of Work) 1
X Rdconl1Cction or ne'WcireUit forr~laeement HqUng PlInlandlor C CondJer.
. kotmcC'dOnot%l.eW clrcUitfotrepJaeeu;'1ent ~ WaterHcater POWetvonted
waii:r~, .. . I
- ~tion'oftbe Service Ent;ranee Cable. Meter Box. altcntiODS ~le$
. . . and Iigh~mror~due:t~siding/Stlmt.~on. Note: N Service 'I!
!mranecOiliJes wtH'TeqUlIt a~pezm.u.
_ . ,ReC('lM~Onor'Qew Qirouh for tbeuplaccmeni of other perman.mtl
appliances lfi~luri9.. .
_~..ci,CJ!it fo:tthtuwiition of Ale to an itidividJIaJ dwelling Wt.i1
. '~...jdualsyaten'l$1n.a. dupll'X'oroo:ndm.niciwn)...ioo1nding
cJct;triCal.ODtlets.
Other
fJ 2 D Co tJ "'\Nf1'J ' J i IV /vIe-La IV IV g-
. (~) (CitY). (State)
haV,\;:bm1 OQDtractedtopctfwm eJ~c:instal1ation'wolkfor (vlA t: y. ,tl El
. ..' ~ofparty.
at.~folJowm,gad~ <6/ ftze7_ ~~~
:(Addr.cssw~ work,will.bepm1i:hsuetl)
or the
servicc:,
. The y~luc of this w()rk is $' ZO D. 00
l~Y\l'etify. t,hjs'wOlk wiU be performed by an employee of~ company and
. the nicbn~01)I~ipnWiU~ donomQompliance with manufae1urer!Dd Bl
req!Jirenle!lt8.
~*~ f,j d-(', .
(Sign.an1l'e{()fC~y Officer)
{)( frrJ-e- .;2.. S-EG t ~
(print Name ofOffi~l
. ex verify
~~I
3-2$07
!