HomeMy WebLinkAbout0127601-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 432 BROAD ST
CITY OF OSHKOSH
No
127601
HV AC PERMIT - APPLICATION AND RECORD
Owner SALLY M MARX
Create Date 11/01/2007
_._---~-_._-,.
Contractor MARX MECHANICAL
Fuel ~~-~ DOil-----~
System D_~e~_ ~
~ F_orced Air U~adiant ~
U_.f:ledri~J ITljot Water_J
Chimney Type ITfhimney A o CbImney B
Heat Loss KJ As Approved I( Existing
BTU Rate D As Per Plan o Variable
Category ~OO :B~_~de~tia,=-Heatin_g_.!lc_""entilaU!:l9___ Plan ____________ ...
U_EJ~tri~_=.J ITSOiar----J ITSOlid ~=l
0~_~~~________~ u9!b..e~____J
U ~eam __=:J U AlC ____:::J U_ Ve~t--=-~]
U__~~pp!.___J ~~n~':.J
._Qii:.~~.f1!____==~plica~____.J
O_~fl>B~~_~~___~ Value___________
. Other ______-.J Value ________-2Q,000
Use/Nature ISFR / Replace furnace. EIV provided by Beez Electric.
of Work I
I
!
!
Fees: Valuation
_____ _~}, 1.9~:Q9
~
Plan Approval
$0.00
Permit Fee Paid
$58.00
Issued By:
Date 11/01/2007
D_~!:!mit Vo.ided i
Parcelld # 0406240000
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.
City of Oshkosh
Division oflnspeciion Services
P.O. Box J J30
Oshkosh, WJ 54903-J J 30
Phone (92Q) 236-505Q . .
Fax (920) 236-5084 .
~
OJH~DJH
01-,11-11 Wf:lFli
HVAC PERMIT APPLICATION
A1J infol11Jation after bold categories must be provided.
Incomplet.e applications will nol be processed.
. ,
· AppJicat.ion(s) and fee(s) can be brought t.o City Hall, Room 205 or mailed to Inspection Services, PO Box J 128,
Oshkosh WI 54903-1128. CouUJ.1ellcing work witlJOut permit(s) will result in iees being doubled or $100.00 plus the
normal pem1i1 fee, which ever is greater.
OR.' ..
If vou are a Con/ractar 7?or/icipatil1f/ fn the Permit fee Account Svs1em ''and have adequate fil.l1ds. check here
if vau want this processed 1l1rou1(11 vaur account n
DATE
\~ Jd--01
JOB ADDRESS L\3';l ~P1) <"uT
O\VNER ~ M.~~
CONTRACTOR MARX MECHANICAL INC
CHECK 10 ALL APPLICABLE
USE CATEGORY
~Single Family o Duplex o Multi-Fa1Ully
o Rental
o Commercial
o Il1dustrial
FUEL
lKlGas
OOil
DElectric 080lid
0801a1'
SYSTEM
DNew
o Other
~Replace
TYPE
~orced Air DRadiant DSteam ONC OVent DElectric OHotWater OSuppl.. DCan. Bumer
IS CHIMNEY BEING LINED DNa ~Yes -LINER SIZE Sl
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER FL-N-- L
CHIMNEY TYPE
~;
HEAT LOSS
BTU R.A,.TE
DChillUley A
OAs Approved
DAs Per Plan
DChimney B
j;aExisting
OVariabJe
QgDirect Vent OOil1er
DNat Applicable
lXlOtherValue . '\0\000 &N' {N(JUT
DESCRIPTION OF ALL \VORK BEING DONE ~~~
\- LeNND~ ~~()(L"" (6-1o lM~-Y g e..- Oqa -
n\\:. ~M\?' Wl n-\
C C{\)\ () H'~ (S\\) \N\XJ)) '1'-t 61~.lfS!~
VAI--UE (Including labor and mat~riaJs) $ ~tqs~.
REeEtVED
i
NOV 0 1 Z007
ELECTRlCAL CONTRACTOR ~L el..R(:V'U C . . DEPARTMENT OF
o For applicable projects, an Electric Installation Verification form, signed bUMliil\g~lOt<\I.m.~ENi\ist be
attached. Ifnot attached or not applicable, a separate Electrical Permit is rt~ION SERVICES'mVISION
10/04
10/22/2007 14:38
9202317255
BEEZ ELECTRIC
PAGE 01
~
~Qf.H
City of Ouhllo811
Divi.i,,~ "I'ITlllpCllticlI1 SImrice.
.: 15 Cllla<<~b "~~ve:
PO 90.. 1.130
~hkosll WI 54903-1130
Office 9:1O.23fi.S031)
Fa" 920..:'j6.~()$4
Electric Installation Verification
(I) (We) Beez Electtic. Inc.
2951 S. Oakwood Rd. Oshkosh ""1 54904
have been contracttxl. to perform electric irl..sta11ation work for Marx Mechanical.
at the following addtess: 432 Broad Str~
The nature' of the w(lrk consists of: (Check One or Describe the Nature of Work)
IZI Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
o Reconnel::tion or new circuit for replacement Electric Water; Heater.
o Reconnec::tion of the Service Entrance Cable, Meter Box, alterations to receptacles alld
lighting fi,xtures due to siding I soffit installation. Note: New Service Entrance
Cables wi.n require a separate permit.
o Reconnec;tion or new circuit fot' other permanently wired appliances I fixtures.
o Other
The value of this work is $250.00
I hereby veritY this \vork will be performed by an employee of this company and further verify
the reconnection I imltaUa.tion will be done in compliance \\ith manufacturer and Electric code
requirements.
~~~~~':f':~
(Signatu ofCornpa:ny O1:ltCel.")
Gary Biesinller
10/22/2007