HomeMy WebLinkAbout0124447-HVAc
G
OSHKOSH
ON THE WATER
Job Address 410 MARSTON PL
CITY OF OSHKOSH
No
124447
HVAC PERMIT -APPLICATION AND RECORD
Owner PAUL A KOCH
Create Date 04/26/2007
Fuel
UOil
Category 502 - Residential-Both
U Electric
~ Replace _
DSfeam
ITSuppl.
() Direct Vent
Plan
BTU Rate
MARX MECHANICAL
~-Gas I
~ew
~ Forced Aie]
U~ctric =
. Chimney A
o As Approved
K::) As Per Plan
U Solar
Contractor
U Solid
D Other
U Vent
System
~ AlC
U Con. Burner
Heat Loss
U Radiant
U Hot Water
C) Chimney B
. Existing
() Variable
Chimney Type
o Not Applicable.
o Not Applicable
~her
Value
Value
Use/Nature FR / REPLACE 70,000 BTU FURNACE AND 2 TON AlC, EIV SIGNED BY ALLIED ELECTRIC LLC
of Work
l
i
Fees: Valuation. ~Q,QQ
Issued By: ~
Plan Approval.
$0.00
Permit Fee Paid
$170.00
Date 04/26/2007
D Permit Voided !
Parcelld # 1004200000
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 ifthe inspection is not performed within two business days from the time the project is ready.
~'RE~~EI)MA~ MEAT'HG..
OE~'A OF ,!It-.!\'~
COM.. MUN... . lOPMIN(III .,.....~. ..
INSPECllON S D~b':-"
c.-.W'1 '..\1_
0IIlIIII ~,)we'D
lIu. OU4l"'*
9213 235 62113
p.el
(Yl \ t \', t\[ It, \
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Foxl L{ l D I V', f I"'> I U
Electric InltallatloD VerlflcadoD
e. C\L.., \
f'~2. Off\ :
/.d.])
(Actdro.I)
f/~r;~''-, t~t: ~
(Electrical ContraCtOt Name)
T v- .~~-L _ ~ ~'f~~ #y ~,'t
I . celt)') . (Stlte)
--.
I (We) -4A/lrti
"~JQ1
(Zip Code)
uve been cOJltr&CtId to pertbrm eIeotrlo 1Mta11aticm work torlWlX MlCIlAHICAL life
(Name of party contracted to)
at tha followtna addree.~ '7'10 ,~:r.t4^ L/4.L..-
(Addle. wheN work will be Pfffon!led)
The nat\W oftbo ~ COftIiItl of! (Check One or Ducr1'be ~ N..tUre otwork)
..A- ,~Im~ or new Quowt for repllGtmlCt Heatina Pl_ IIldlor Ale Co!!deft...
_ Ro;oanlQUon Of Dew cirew, forrtpl-=cmt Sleotrio WItef Heater or pow.. vented
water hoat..
_ R..oorm~OD ofth. Service Bntrcce CaDI., Met8' Box, altnticml toteceptaOl.
and UI1Uins fixturel clue ~ .idina 110m, ataUatlon. Note~ New Service
Entranco Cablll ",m requi.- a ,eparate permit.
~ k~onnection Of new c~uif for the rtplacODlent of odser p~ont1)' wired
applianoo,/flxturo.. '
_ Naw circuit forth. addition of Ale m IU\ tftdtvUfu~1 dwfllilllt"st, (hoUl' or the
, ,.. indtvtd.ua1 .yatems in . duplex or CODdomimum). iDol.. re~uired smvtCl
.1eatrical outlcC..
_ Other
'l"~.1I
-.-
-.,,-
'4
~'-.A L
....
-
- ---.;r
Th. value of thi. work i. S
~ f(}, ~
I baby verifY thtl weft will be porl'ormed hy 8J1 .mplo)'l' of this Clompmy IUd further verify
tbt recazmecnon I inI1alllUOft wUl be done in oompUIDCI with manufacturer and Blectrlo code
requirementa.
ii, pt. ,I: 6/l'i~1J
" (Print Name at OMOCf)
i.:rJ..o7
(Dat.)
$A)'
City of Oshkosh
Division of Inspection Services
P.O. Box J J30
Oshkosh, W154903- 1] 30
Phone (920):236-5050
Fax (920) 236-5084
.~
OfHKOfH
ON TI.jf 'JIf,1 fll
HV AC PERMIT APPLlCA TJON
All infonnatioJJ after bold categories must be provided.
incomplete applications wjll not be processed.
· Application(s) and fee(s) can be brought 10 City mIl, Room 205 or mailed to Inspection Services, PO Box] J28,
Oshkosh WI 54903-1 J 28. Commencing work without rennit(s) will result in fees being doubled or $100.00 plus the
norma] penllit fee, \\;hic11 ever is greater.
OR
If 1'011 are a contractor participating in the Permit lee Account Svstemond have adequate funds. check here
ilVGU want this 7Jrocessed throuQh vour account n
DATE
~-11-01
I
JOB ADDRESS 4-10 tv\~STON r~
QWNER_~LJ)Q.ES, k0CJ+
CONTRACTOR MARX MECHANICAL INC
e1 ? 5... 'u !5 10
~ '-IllY
CHECK 0" ALL APPLICABLE
USE CATEGORY
~Single Family
TYPE
~Forced Air ORadial1t DSteam ~AlC o Vent DElectric
IS CHIMNEY BEING LINED DNo itJYes - LINER SIZE (34
Note: All chimneys shall be sized per the BTU's being vented.
1 !
I '
DHotWater Df:UPp~. I~COll. Bumer
& MANUFACTrR ~~ L
I I
CHIl\1N!}Y TYPE 3Chinmey A DChim.ney B DDirect Vent DOther I
BEAT LOSS DAs Approved 1ZIExisting ONot Applicable i I
BTURATE DAsPerPlan DVariable l2SQtherValue 101000 &-cu l,tJf'U<'
DESCRlJ!TION OF ALL WORJ<: l3RING PO:NE_!eJ1J!t~. \1UT \J\Jf\'i'C~tY~~~. ..~.lJ.J In-t
LeN N D ',C ~ ~yL cs\.{ ~ '\\:::"Y'Y\ '
Le1'JNo~ G-lo llV\P- ~~ f:r b'lo (:100 Ol) ~\lJ l1\Jfvr
No',(, ~ ~ -0 d-'-f d ~ H c.:.. UN ll"""
~l\ ,/\ 0 1\ II.\)
V AI--UE (Induding labor and mat~rials) $ I. ~ ~
DElectric DSolid
OSolar
SYSTEM
ONe\v
DOther
o Industrial
I
I
I
lKlReplace
ODuplex o Multi-Family
o Rental
DCorDlnercial
FUEL IE Gas
DOil
o
AP'R 1 8 2007
I
DEPARTMENT OF
ELECTRICAL CONTRACTOR . DEVELOPMENT
o For applicable projects, an ElectTi~ Installation Verificati~n form, s~g~led bY~S~~I$liR~'Rb'l1s1W~
attached. If not attached or not applIcable, a separate E1e-ctncal Penmt is reqUlred'l ;
~~~~4/~1
I .
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10/04