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HomeMy WebLinkAbout0130338-HVAC (furnace & a/c)L J OSHKOSH ON THE WATER Job Address 901 PARK RIDGE AVE Contractor MARX MECHANICAL Fuel / Gas Oil System ~ New ~ / Forced Air Radiant Electric Hot Water Chimney Type p Chimney A Heat Loss As Approves BTU Rate As Per Plan Use/Nature FR /REPLACE FI of Work Fees: Valuation $5,300.00 Issued By: ~~~- D A/C (per Plan Approval MR/MRS JAMES H PRICKETT Create Date 06/04/2008 502 -Residential-Both Plan Electric U Steam Suppl. Direct Vent Not Not A~ Other wiring be owner) $0.00 Solar Solid Other ~ / A/C Vent Con. Bumer Value Value Permit Fee Paid $89.50 Date 06/04/2008 Voided In the performance of this work, I agree to perform all work purse While the City of Oshkosh has no authority to enforce easement described in this permit application within an easement, the City holder(s) and to secure any necessary approvals before starting Signature Address 4535 STATE ROAD 91 Parceild # 1222460000 to rules governing the described construction. rictions of which it is not a party, if you perform the work igly urges the permit applicant to contact the easement ~ activity. Date 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 No 130338 HVAC PERMIT -APPLICATION AND RECORD ~.:y`Ls City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920)236-5084 HVAC F All information Incomplete RECEN JUN 4 2008 DEPARTMENT COMMUNITY DEVE INSPECTION SERVICE tMIT APPLICATION r bold categories must be provided. lications 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 ** 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 Issaance and will be retarned for completion. DATE ~ -~'"© g JOB ADDRESS ~0~ ~~~ ~t~G-F OWNER C~MtS P12--lc~C~T CHECK ®ALL APPLICABLE USE CATEGORY Single Family ^Duplex OMulti- FUEL Gas ^Electric ^Solid ^Oil ^Solar ^Rental ^Commercial SYSTEM ^New ^Other ^Industrial Replace TYPE $IForced Air ^Radiant ^Steam ~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 ®Direct Vent ^Other HEAT LOSS ^As Approved [3~Existirig ^Not Applicable ~~ INP~ BTU RATE ^As Per Plan ^Varia Ile ®Other Value 10~1~ U 0 DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~~r ~ rUR~1Jf~(!~~ ~ Ie. ~,~IND>c N~pp~ G In IMP_ ~ -U~p 1~ ouU TWA S~Pd~sr -~.~NAtr" I~.NN~X ~~ OeL~ ?CCtS-t>-3t~ 3 l~~ COf~1Dt~SWG UNii ~ VALUE (Including labor and materials) $ S3 U ~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ ~ tJ !~ o~/o~ City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 H Oshkosh WI 54903-1130 Office 920-236-s050 ON THE WATER Fax 920-236-6084 Electric I (We) HOMEOWNER (Address) RECEIVED .JUN 4 2008 DEPARTMENT OF COMMUNITY DEVELOPMENT t10II vel'1f1Cat10l~SPECTION SERVICES DIVISION ~~-.~ /~~IG~~1~~ ectric~l Contractor Name) (City) have been contracted to perform electric i tl W L ~ (State) 7a/ (Zip Code) ion work for MARX MECHANICAL INC (Name of party contracted to) at the following address: 901 PARx R: AVE where work will be performed) The nature of the work consists of: X Reconnection or new circuit Reconnection or new circuit water heater. Reconnection of the Service and lighting fixtures due Entrance Cables will req~ Reconnection or new circuit appliances /fixtures. New circuit for the addition ~ individual systems in a d' electrical outlets. Other The value of this work is $ One or Describe the Nature of Work) re lacement Heatin Plant and/or A/C Cond replacement Electric Water Heater or power itrance Cable, Meter Box, alterations to receptacles siding / soffit installation. Note: New Service a separate permit. the replacement of other permanently wired A/C to an individual dwelling unit (house or the ilex or condominium), including requi*ed service I hereby verify this work will be performedby anemployee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. ature of Company Officer) (Print Name of Officer)` (Date) sio2