HomeMy WebLinkAbout0096799-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1819 HUBBARD ST
CITY OF OSHKOSH
No
96799
HVAC PERMIT -APPLI.CATION AND RECORD
Owner NOREEN A SCHUMACHER
Create Date 08/22/2002
Contractor MARX MECHANICAL LLC
Fuel ~ Gas I Oil
System o New
~ Forced Air U Radiant
I I Electric I I Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss U As Approved C) Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
L J Con. Burner
. Not Applicable
I Electric
o Replace
U Steam
I I Suppl.
C) Direct Vent
. Not Applicable
. Other
Value 0
Value 75m btu
Use/Nature SFRI Replace furnace - 75rn btu. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By: 'K. VV\
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Date 08/22/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 4535 STATE ROAD 91
OSHKOSH
WI 54904 - 6304 Telephone Number (920) 235-6510
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax. (920) 236-5084
~
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ON THE WATER
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HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor particilJatine in the Permit fee Account System and have adequate funds. check here
if YOU want this vrocessed throueh vouraccount n
DATE
B -~a--Od-,.
JOB ADDRESS 1 ~ , ~
OWNER N i) fZt e"-1
CONTRACTOR MA'l-x.-
Hu66AA-D ST,
. .sC.JhA IY M--H~
M~J.CAL lN0
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
'~Single Family o Duplex DMulti-Family
o Rental
DComnlercial
o Industrial
FUEL
OOas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
o Other
lMteplace
TYPE
li3Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED rnNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE o Chimney A DChimney B DDirect Vent o Other
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value 15; 000 6RJ
DE~CRIPTIONOF ALL WORK BEING DONE Kt(J~f FUP-..NA~..f WiTH-
LeNND'K ~DOJ() A1::.ue- (;d.-OQ{3-'l5 '1SI()()O 6TU /NeU.T
.
VALUE (Including labor and all materials including light fixtures) $ ~ 000 ,fJilJ
ELECTRICAL CONTRACTOR
OR ~ectric Installation Verification form attached(IfReplacement)
Electrical installation of new /replace ment equipment shall be done by licensed contractors.
3/02
08/20/2082 01:54
9202317255
EEEZ ELECTRIC
PAGE 01
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City ~fQll1l{lJsh
Dl;,j,oieln (>nn~Qll Services
215 cm",hA'Vontl~
POBox 113"
o.ll~!Il IN! S4!103-1130
offi~ !i'to.~6-S0S0
Fll/\ !i'ZO-23ti-SQ84
'" 01.. '-'l'"!
Electric Installation Verification
(I) f.JJe) Beez Electric, Inc.
521 W. 12th Oshkosh M ~
have been contracted to perform electric installation work for Marx: Mechanical Services~
at the following address: 1819 Hubbard Street.
The nature of the work consists of: (Check One or Describe the Nature of Work)
181
o
o
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Rcconnection or new circuit for replacement Electric Water Heater_
Reconnecnon of the Service Entrance Cable, Meter Box., alterations to receptacles and
lighting fixtures due to siding I soffit installation. Note; New Service Entrance Cables
win require a separate permit.
Rcconnection or new circuit for other permanently wired appliances I fixtures.
Other
o
D
The value of this work is $120.00
I hereby verify this work will be pe,rfonned by an employee of this company and further verify the
recoMection I installation win be done in compliance VYith manufacturer and Electric code
requirements.
d~At 13~zr
Gary Biesinget
08/2010.2
(Signature of Company Officer)