HomeMy WebLinkAbout0126183-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 110 W 15TH AVE
CITY OF OSHKOSH
No
126183
HVAC PERMIT -APPLICATION AND RECORD
Owner BARBARA J REHBEIN
Create Date 08/09/2007
Contractor MARX MECHANICAL
Fuel U Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate ,0 As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
~ Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
~ NC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace a/c. EIV provided by Slim's Electric.
of Work
Fees: Valuation
$2,600.00
~
Plan Approval
$0.00
Permit Fee Paid
$49.00
Issued By:
Date 08/09/2007
o Permit Voided I
Parcel Id # 0304490000
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 (Le. 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.
U t:i UJ
t L I
City of Oshkosb
Division oflnspection Services
P.O. Box 1130
Oshkosh, W1 54903-1 ]30
Phone (920) 236-5050
Fax (920) 236-5084
.~
OfHKOfH
Ol'~ 11;l WI',1 fl?
HV AC PERMIT APPLlCA TlON
All infonl1atioll after bold categories must be provided.
Incomplete applications will nol be processed.
. Application(s) and fe'ees) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 ]28,
Oshkosh WI 54903-1128. COllUJ1enci.ng work witlJout penuit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
J~ vou are a contractor participating in the Permit fee Account Svstem 'and have adequate funds, check here
i _ vou want this ;Hocessed throu'Zh vour account n
DATE
g -fa -0'1
JOB ADDRESS \\0 W \ StJ.- ~e
OWNER ~ '.~et\~~\N
CONTRACTOR MARX MECHANICAL INC
CHECK 0 ALL APPLICABLE
USE CATEGORY
'fjQSiugle FaJ.1Uly o Duplex o Multi-Family
ORental
o Commercial
o Iudustrial
FUEL
DGas
DOil
~Electric 08oli.d
DSolar
SYSTEM
ONe\Ji1
o Other
}ClIZeplace
TYPE
OForced Air
I
1
DRadiant 08tea111 "tdAJC o Vent OE1ectric OHotWater D8uppl~ DCan. Burner
.!
J
IS CHIMNEY BEING LINED JCINo DYes ~L1NER SIZE
Note: All chinmeys shall be sized per the BTU's being vented,
& MANUFACTURER
02.t';r Th~
, ",1\ Tli J
U~ED
t AUG 0 9 2007
V A~UE (Induding labor and mat~rials) $ 01(000 ~!DEPARTMENT OF
_ <, I l5"1 cr TVJ .L" COMrYlUNITY DEVELOPMENT
ELECTRICAL CONTRACTOR ~M.s. L. l..-'L'-"l........ ~ INSPEctION SERVICES DIVISION
o For applicable projects, an Electri~ Installation Verificati~n form, s~g:1ed by .the Electrl'cal Contractor, must be
attached. If not at.tached or not apphcable, a separate Electncal Penl1lt IS reqUIred.
I
t
L_~
if Chinmey A
DAs Approved
DAs Per Plan
OChin1l1ey B
DExistlllg
DVariable
ODirect Vent
~Not Applicable
g]Otller Value
o Other
CHIMNEY TYPE
IlEA T LOSS
BTU RATE
DESCRIPTION OF ALL 'VORI(BEINGDONE a..a>~ . A-\~
U::..-NN~')C.. f'\CO~""L. XCfb"'O'!>Cl ~1.1a- 1'O,.J
10/04
08i07/2007 26:21
920-425-5249
SLIMS ELECTRIC INC
PAGE 01
City of 0Ihlr.0Ih
tJmaioo<<:~~
21' CIl~ A~.
POBoxIUO
OthkoIh WI 5o'W(l3.1l30
~ no-230.JiO:lO
FIl3t ~50$4
Electric InstaDatiOD Verifleation
I (We
(Electrical Contractor Name)
Oshkosh
(City)
WI
(State)
54904
fZin Code)
... ,
b ,n c ttacted to perfonn electric installation work fur ~oJXlykcl1I!J:ti.S'J!!JrtL__.,_,
(Name 02 perty contracted 10)
ah..~ wll.... g ...JG.;~$.~; UO W 13 tlq!.y~ ~ ___. ___
(Address where work will be performed)
. I. . ,,'... '. ~ _
The nature e vyork consists of: (Check One or Describe the l'Jilture of Work)
..1l.. cconncction or new circuit foc rephtcement Heating Plant and/or Ale CondeIlser.
econnec.mon or new circuit for replarement Electric Water Heater or power vented
water bealer.
connection of the Service Entrance C.ble. Meter Box, alterations to receptal:les
and lighting furtures due to siding I soffit installation. Note: New Service
Entrance CaMes wiU n.'quire a se;m&e permit.
econneetion (It ~w circuit for t.~ replv..;ement of other permanently wired
appliances l fi:.:tures.
ew circuit for the addition of Ale tl.;, an inJividt.ta! dwelling unit (house or tht;
individual systems in a duplex or condominium), including required servic'e
electrical outlets.
er
The value 0
200.00
thig wod:: wU1 be perfor.iw.::d b,y an employee of this cotnpa.ny and further velify
n I installation wilJ be don.e in compli&Ulce with manufACturer and Electric code
- ,6'"
..IY David A Youngwinh
Ill/ t/
~
RECEIvED
AUG 0 9 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECfION SERVICES DIVISION