HomeMy WebLinkAbout0130212-HVAC (furnace & a/c)CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3421 OREGON ST Owner STEVEN BAUER/S SPANBAUER
Contractor MARX MECHANICAL
Fuel
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature
of Work
No 130212
Create Date 05/29/2008
Plan
/ Gas Oil Electric Solar Solid
^ New ~ ^/ Replace ~ ^ Other ~
/ Forced Air Radiant Steam / A/C ^-Vent
Electric Hot Water Suppl. Con. Bumer
Chimney A Chimney B Direct Vent Not Applicable
As Approved Existing Not Applicable Value
As Per Plan Variable Other Value
and a/c.
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Date 05/29/2008
Parcelld #1413660300
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.
Category 502 -Residential-Both
Permit Fee Paid $100.00
~':JU,
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
NTH .:. WA '~.
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 54903-1 1 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR -- - ~ -
** Advisory -For. applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. C
DATE V c~~ ~g
JOB ADDRESS ~~~"~ Q ~~~ ~ S!
OWNER ~~ ~ ~~~~
CONTRACTOR MARX MECHANICAL INC
CHECK ®ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family
FUEL l~Gas ^Electric ^Solid
^Oil ^Solar
^Rental ^Commercial ^Industrial
SYSTEM ^New
^Other
Replace
TYPE
1~Forced Air ^Radiant ^Steam l~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ®No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B I~Direct Vent ^Other
HEAT LOSS ^As Approved ®Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ~(c]Other Value ~IO~UOI (~M i ~1P1)l" _
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~~~ w-~~ti r ~ 1 ~- W ~~-1
nlt3>C Nl ~ G(~ IMt'- 3b 3- ~'I~0 1~ bUU r~iLt ~rJPu i ~cJRtJ~t~"
~~ml~~x M~ ~~p- Oaf ~-~~ +~- lG UrJ~T"
- w 1-1L.V ~~ r
VALUE (Including labor and materials) $ ~®~~
MAY 2.9 2008
ELECTRICAL CONTRACTOR (for projects not requiring an ElV Form) ~L'.C Z-- ncoeoTMFnIT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES (~,~SION
05J27/2N08 13:55
9202317255
City of i;Md+lroah
1?ivuian of inl~peCt~4+15~~as
215 Chuoah Aaenue
P'O Box ! 134
thhkcxh Wt 51903-1130
O~+e~ !~20.23f*30N1
F'ao~ 9~U.73b54Rd
BEEZ ELECTRIC
Electric Installation Ve11~I~catio~l
C~ (W'e) Beet Pleclzic, mac.
951 S. tJ~ikwood Rd. Oshkosh WI 54904
leave been contracted to per5orm electric installation work for ?viaZ7c_Mechanical,
at the following adelress: $42l Oregon Street
T1Ye nature of the wrxk consists of : (Cheek One ar Describe tlae Nature of Wank)
PAGE 03
Re~une:ctiom or now circuit for replacement Heating 1'Iant ar_rilor AfC Gondetiser.
Reconur:ction or new circuit for replacement Electric Water, H~eatex.
ReconriE:etion of the Service Entrance Cable, Meter Box, alterations to receptacles find
lighting :5xtures due to siding / sofAt installation. Note: '~1ew Service Entrance
Cables v~rill require a separate permit.
8 Reconnection ar new circuit for other perrxAartently wired appliances /fixtures.
Usher _._
The value of this w~;~rk is 5350.00
x hereby verily this iuorlc will be performed by an. employee of this company grid further ve~fy
the reconnection r ir..~stallation will be done in a~xripliance with memtfacturer end Electric code
requirements.
ct?L~~-_'~ Gary Hiesinger 5/27/20(18
(Sigilattae of mp;any cer)