HomeMy WebLinkAbout0130211-HVAC (a/c) CITY OF OSHKOSH No 130211
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 910 E LINCOLN AVE Owner THOMAS P/MARY E MENTELE Create Date 05/29/2008
Contractor MARX MECHANICAL Category 501 -Residential-Air Conditioning Plan
Fuel Gas Oil / Electric Solar Solid
System ~ New ~ ~/ Replace ~ ^ Other
Forced Air Radiant 1 Steam / A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable , Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
Fees: Valuation ~~ $2,150.00 Plan Approval $0.00 Permit Fee Paid $43.00
Issued By: ~~('iiY~c) Date 05/29!2008
Permit Voided
Parcel Id # 1105720000
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~„~
Fax (920)236-5084 ~,~
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
7f you are a contractor narticinatinQ in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
** Advisory -For applic le projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractoir or Homeown (for installations allowed to be performed by the homeowner) mast be submitted
with the permit applicatio .Applications submitted without an EIV when such is required, will not be
processed for Permit Issas ce and will be retained for completion.
DATE Vc-- °2'~ --t7 g
JOB ADDRESS I I'0 E II ~.,I N~4 t,~ ~ Vt
OWNER ~O M `i Mme- ~E~Tl'~L(%
CHECK ®ALL
USE CATEGORY
I~Single Family
FUEL ^Gas
^Oil
^Multi-Family
^Solid
^Rental ^Commercial
SYSTEM ^New
^Other
^Industrial
®.Replace
TYPE ~
^Forced Air ^Radiant ~ ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LI ED ®No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be si d per the BTU's being vented.
CHIMNEY TYPE ^C imney A ^Chimney B Direct Vent ^Other
HEAT LOSS ^ Approved ^Existing Not Applicable
BTU RATE ^ Per Plan ^Variable ~10ther Value o2 ~ ~
DESCRIPTION /SCOPE FALL WORK BEING DONE ~~~~ ~-I SI IN (~ A- LC, W ~~
~ k V~ 0Oe ~ 13A~0 -~ ~~ a 1n N u rJ ~ r
ED
VALUE (Including labor an materials) $
MAY 2 9 2008
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ DEPARTMENT OF
COMMUNITY DEVELOPMENT
'~ INSPECTION SERVICES DIV~I~,N
05f27f200~i 19:55 920231x255 BEEZ ELECTRIC
C(4Y p{S;ImifiGOSh
Division. o('ineplCtiba Sbn'iC4K
215 {leua~ Avwua
PO 8flK 1130
~~~~ Bs6loosti wr 5491>3•(t30
o(no~ ~~zo-zsasoso
Fm. 92(1.236.5984
~lectr~i~ Insta~ataa~a Verification
2951 s. oiikwoad Rd, Oshkosh ~ 4 4
have been contractey3 to pex'foxxxi electric installation work for Marx Mochanical,
at the following address: 91 p F. Lincoln Ave.
The nature o#'the work consists of : (Check One or Describe the Nature of vVork)
PACE 01
Reconn~:etion or new circuit fax xeplaaement Heating Plant and/or AIC Condenser.
^ Reconn~;ction or new circuit for replacement Elect±~ia Water Heatex.
^ Reconne.ction of the Service Entrance Cable, Meer Box, alterations to receptacles and
lz htiz~g :~,xtures due to siding !soffit installation. Note: New Service Entrance
Cables v7rill require a separate permit.
^^ Roconnrctiort ox new circuit for other permanently wired appliances / fixttrces.
Uthtx _._
The value of this w~;rrk is $35Q.04
I hereby verify t?xis ~avork will be performed by an employee of this company and further verify
t~~e xeconnectian J iirastallativn will be done in compliance with manufacturer and Electric code
requirei~exlts.
Ca~~ Gary Biesin>~er 5/27/2008
{Signal(: re f ompauy Pacer)