HomeMy WebLinkAbout0127405-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1682 THORNTON DR
CITY OF OSHKOSH
No
127405
HV AC PERMIT - APPLICATION AND RECORD
Owner STEVEN J/SHARON A HANSEN
Create Date 10/22/2007
BTU Rate
MARX MECHANICAL Category ~~Besidentia!-Heatil'1.9_~_Y~ntil~inL_
~ D~Q~_=~~! [J I
~_~~~_J ~ .___~~_c:tric:____~ D-~g!ar~=~==~]
D_f\le_~_______________J [~lBeEI~c:e
~F~~_~!-!~~~] D~RadianC~~__~ D-SJ~~_~~:~=__J DA7e _______
ITJ~J~0~=:-==] O=f:iot ~a~r:~J D=s~er:_:~:] D~~?:n.:~~r~~r=1
D:91TI1l net A:==-_:::=:IEhrrnneys-=-~:=:=_-=- Di~~LVe~C:=:=-_O Not ~-plica~~==_:==
D=~~EPLOVe(r _____~.:~~=====D-Not Applicable==-l Value
Q As Per E!~--------D V~able __________ Other -=== Value
Plan
Contractor
Fuel
System
Other
. ___..."____.._.___..._.._.____.i
D~~!::==_=-:~:!
Chimney Type
Heat Loss
__________~~1l0~
Use/Nature ISFR lREPLACE FURNACE, EIV SIGNED BY BEEZ ELECTRIC .'check #6796-
of Work i
~-.-,-..---_._----~-----_.--- ----I
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.~____._..__.___,_"_.._.~___________.___._..._____i
1__
Fees: Valuat~_;=v 'J'680.00
Issued By: ~
Plan Approval __~..:OO
Permit Fee Paid ___H___J_50~Q
Date 10/22/2007
----_._----,--- .
o Permit Void~
--"--'--~-
Parcelld # 1317470000
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
~.5]~~}ATE RQ~~~~________ 9SHKOSH ____ Y.'{!_ 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.
SD,bV
City of Oshkosh
Division oflnspection Services
P.O. Box 1 ]30
Oshkosh, WI 54903-1 ] 30
Phone (920) 236-5050
Fax (920) 236-5084
I
OCT 22 2007
. DEPART!\lEWf, 0, F OfHKOfH
Cm1MUNrTY DElli::!' ("\j:","r-N T '\
INcP--- If '\... _I...i, "'I"iC Ol'~ 11'i!' Wf:lfll
...J tL I tON SE'~
HVAC PERMIT APPLlCAtlONES DIVISION
All infonnation after bold categories must be provided.
Incomplete application.s will not be processed.
. Application(s) and fe'e(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128, COJ.1U11encing work wit:bout peullit(s) 'wiB result in fees being doubled or $100,00 plus the
normal pem:lit f~e, \'yhich,~veris greater.
OR
Jfvou are a conn'actor 7Jarticipatinf} in the Permit fee Account Svstem 'and have adequate funds, check here
if VilU wan! this 7Jrocessed throu[!h vour accOunl n
DATE
\u-l~ --0.'\
JOB ADDRESS 1 ,,~ '} l\1\JJl--NruN OYL-
O\VNER S\t\lE ~SeN
CONTRACTOR MARX MECHANICAL INC
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Sillgle Fan,lily ODuplex o Multi-FalUlly
o Rental
o Commercial
o Jildustrial
FUEL
EGas
DOil
DElect1'ic DSolid
0801a1'
SYSTEM
ONe"..
o Other
l29Replace
TYPE
~Forced Air DRadiant DStea11'J, DAlC OVent DElectric DHat Water DSuppl. DCan. Bumer
IS CHIMNEY BEING LINED DNo ~y es - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
3" &MANUFACTURER l~~ L
."
CHIMNEY TYPE
.,
HEAT LOSS
BTU RATE
DChinmey A
DAs Approved
OAs Per Plan
DChimney B
J?1.Existing
OVariabJe
rEPDirect Vent OOther
DNot Applicable
r1l0ther Value ,.jQ~OO ~ n.:)
DESCRIPTION OF ALL \VORKJ3EINGDONE (2...e\\,,~_ .\tIe _~~ W\Th
lxNN~ G5\Me- 3lt1I>-ty10 fLX1--NA~ . ..
V A~UE (Including tabor and nlat~riaJs) $ c)L lo&n ~
ELECTRICAL CONTRACTOR lbt;tL ~\l2.-tG
o For applicable projects, all Electric Installation Verification form, signed by the Electrical Contrac;tor, must be
attached. 1fnot attached Or not applicable, a separate Electrical Permit is required.
10/04
10/19/2067 09:28
'3202:317255
BEEZ ELECTRIC
PAGE 02
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4~H
Cit{ <,f -:)shk'Jsh
Divisioll of Inspection Scrvicc~
21~ Church Avenue
1"0 So-: 11,'1'>
Oshka.fl WI 5490,.1 UO
ome~ 'i20-136-5050
r~x 920.236-5084
OCT 2 2 2007
DEP!-\RTfvJENT OF ._
Cm~MUNlTY DEVELOP~1EN I
INSPECTION SERVICES DlVI~JON
Electric Installation ,Verification
(I) (We) Beez Electric. Inc.
2951 S. OlUGvood Rd. Oshkosh WI 54904
have been contracte,d to perfonn electric installation work for M~!J( Mechanical,
at the following address: 1682 Thornton. Drive.
The nature of the work consists of: (Check One or Describe the Nai-ure of Work)
L8J RE'~onnection or new cirCt~it for replacement Heating Plant and/or A/e Condenser.
o ReCOnn€lction or new circuit for replacement ElectricWat~ Heater,
o ReCOnn€lction of the Service Entra..'lce Cable, Meter Boxl alterations to receptacles ~lUd
lighting :fIxtures due to siding I soffit installation. Note: New Service Entrance
Cables iVi11 require a separate permit.
D ReC0n11E1C""Jon or new circuit for other pennariently "'tired appliances I fixtures.
o Other
The value of this work is $2,5,0.00
I hereby verify thisivork will be performed by an employee of this company and further verifY
the reconnection / iN:tal1ation will be done in compliance witb manufa.cturer and Electric code
requirements.
~~~
(Signature f Company cer)
I
Q~Biesin~er
10/1912007