HomeMy WebLinkAbout0124555-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 226 W 12TH AVE
CITY OF OSHKOSH
No
124555
HVAC PERMIT -APPLICATION AND RECORD
Owner MARK P WHITTY SR
Create Date 05/0212007
Contractor MARX MECHANICAL
Fuel l.!J Gas UOil
System ~ New
U Forced Air U Radiant
U Electric. .. U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss () As Approved o Existing
Biu Rate () As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
I
I
o Other
l.!J NC U Vent
U Con. Bumer
U Solar
U Solid
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature ~FR /Install new central air system. EIV provided by Bright Star Electric.
of Work
Fees: Valuation
$2,300.00
~
Plan Approval
$0.00
Permit Fee Paid
$44.50
Issued By:
Date 05/0212007
o Permit Voided I
Parcelld # 0901210000
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.
'f4~
City of Oshkosh
Division oflnspection Services
P.O. Box] J30
Oshkosh, WI 54903-1130
Phone (92d)2:36-5050
Fax (920) l'36~5084i,. ' ,"'.c iii.
'HVACPER'MIT APPLICATION
All infomlatioll after bold categories must be provided.
Incomplete applications willno1 be processed.
~
01HKOfH
ON THf' Wf,lHI
<~':; <.;~,,_;.'i/ 1, ","'.., '
· Application(s) and fee(s) can be brough11o City Hall, Room 205 or mailed to Inspection Services, PO Box 1 l28,
Oshkosh WI 54903-1128. Conunencing "vork without rennit(s) will result in fees being doubled or $100.00 plus the
normal penl1it fee, which eVer is greater.
OR
If vou are a contractor participating in the Permit fee Account Svsfemand have adequate funds. check here
if )IOU want this 7nocessed throu'f!h ]Jour account n
JOB AD DRESS J. d-- \0 W I J-m [\\j t
OWNER 1v\~\L~ ~~\lL\.ST\N~ W~tT\Y
CONTRACTOR MARX MECHANICAL INC
DATE -5- \ --0 '\
!
CHECK 0' ALL APPLICABLE
USE CATEGORY
ogSingle FalJ.uly
" ppu:r1ex
I:J.Multi-Family
o Rent;ll
DCommerciaJ
~hldustrial
CHIMNEY TYPE
BEAT LOSS
BTU RATE
o Chimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariabJe
lXlDirect Vent
~Not Applicable
00ther Value
i
I
~New DReplace
DOther ~
-I,
DRat Water DSuppl. t Deon. Bumer
&MANUFActRi
- ..I
DOther I
I,
I
I
FUEL
'--""''':'/''''
/mfG"as-'-
DOil
'llJElectric DSolid
o Solar
SYSTEM
TYPE
DForced Air
DRadiant
o Steam
&lNC DVent
o Electric
IS CHIMNEY BEING LINED 1;i]No DYes - LINER SIZE
Note: All chil1meys shall be sized per the BTU's being vented.
DESCRIPTION OF ALL "'VOnK BEING DONE
N mi.L ~-NlLkL fit f- ~NO\\ l OI\l\tJ &
\ ::., LCNN \) ~ j\A1!f; \ ~~/O ~Od--.Y d--ruN
d.-. TO ~I
I
!
I ~ s;,cl:::tL LJN:~I
?J6
~g
1tJ;
ELECTRICAL CONTRACTOR
III For applicable projects, an Elecb:ic Installation Verification form, signed by t
attached. 1fnot attached or not applicable, a separate Electrical Permit is required.
w
J?:i)O \
GiL\ (; HI STM FlttT,
S r'YL.JJ llre
2 2007
DEPARTMENT OF
OMMPNITY DEVELOPM8N';j'V4
IN PECTtON SERVICES DIVISION
! ,
i
y A~UE (Including labor and mat~riaJs)$
-,~ -, "'f;:' ELE'~T""'Ir~ 9';:'0-='",\':;I->:::v147
t'1"'> > 1 '-'0'";''''' 11' dlR- f:"RrlJ"l: E:RIl~HT :::,T r-I, L, re, ,_, ,c; c;,_c L_
'r-IY- -C",,:)j ., ,,- _ He:~TIN~
MAY-01-2aa7 la:~~ ~M MARX
TO: 2356210
':;'~I<:I :<::':'0 0:<::J.I::I
P.l
r-'1III1;:)"':::
----..-"..
~
CIty of 03bkQIJl
Divllli"n OrJUSpcCflQlJ S;rviet&
215 Church ,It vmlUC
PO Ba~ I Uti
Oshl(osll WI ~4903.11JO
Ornec 920'~J6.50$O
f'llx 9~O.236.~a8.
.,
Electric Installation Verincation
1 (We)
BRIGHT STAR ELECTlUCAr., SERV!CES) Ltc..
(EJectrical Contractor Name)
1309 OSHKOSH AVE
(Address)
OSHIWSH
(City)
WI
(State)
5490,",
(Zip Code)
have been contracted to perform electric installation work for MARX MECHANICAL !NC
(Name of party contracted to)
at the following ~dres5;
226 W 12th AVE OSHKOSH
(Address where Work will be perfonned)
The nature of the work consists of: (Chel.:k One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
--- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
-----. Reconnection of the Service Entrance Cable, Meter Boxl alterations to receptacles
and lighting .fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pcnnit.
- Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures. .
.y: New circuit for the addition of Ale to an individual d>l,ielling unit (house or the
individual systems in a duplex or, condominium), ineluding required service
eleotrical outlets.
_ Other
The value oitrus work is $ ;<00. cJ::;J .
I hereby verifY this work will be penonned by an employee of this c<m1pany and further verify
the reconnection / installation wiU be done in oompliance with manufa.cturer and Electric code
requirements.
---
0b~ePh .s(.J,H.J~qio-
(Print Name of Officer) ..-.-0.
5 j, /07
(Date)
5102