HomeMy WebLinkAbout0132738-HVAC (boiler)/~"~ CITY OF OSHKOSH No 132738
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1623 CHESTNUT ST Owner DAVID W CAMERON Create Date 09/08/2008
Contractor MARX MECHANICAL Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas ~ Oil Electric Solar Solid
System New ~ ~/ Replace ~ ~ Other
/ Forced Air Radiant Steam A/C
__~ Vent
Electric ~ Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Apalicable_ _ _~
Heat Loss As Approved Existing Not Appligble Value
BTU Rate As Per Plan Variable Other Value 140,000
Use/Nature FR /REPLACE BOILER, EIV SIGNED BY BEEZaELECTRIC **check #7570
of Work
Fees: Valuation $3,795.00 Plan Approval. $0.00. •- Permit Fee Paid
Issued By:
Permit Voided
$67.00
Date 09/08/2008
Parcel Id # 1512460000
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
AgenUOwner
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 it the inspection is not performed within two business days from the time the project is ready.
RECEIVED
City of Oshkosh
Division of Inspection Services SEP 0 8 2008
P.O. Box 1130
Oshkosh, WI 54903-1130 DEPARTMENT OF
Phone (920) 236-5050 COMMUNITY DEVELOPMENT
Fax (920) 236-5084 INSPECTION SERVICES DIVISION N!~
{7N THE WATER
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
If you are a contractor narticinating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
** 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) must 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.
DATE ~ ~ "~
JOB ADDRESS 1 ~ a 3 ~ ~~ ~ ~ s~-'
OWNER ~~~ l~l~~l
CONTRACTOR MARX MECHANICAL INC
CHECK PJ ALL APPLICABLE
USE CATEGORY
`Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL ']Gas ^Electric ^Solid SYSTEM ^New glReplace
^Oil ^Solar ^Other
TYPE
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric 1~1Hot 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 ®Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ®Other Value ~ CIO ~ UV U iSU I f~IPU I
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~L(~r TH-ts tb i h/~~
DSO ~~~ v~/~ M w~~ ~ Mc ~Ai~l M o o~z ~ CGG ~S
w
VALUE (Including labor and materials) $ ~ ~ ~~~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) trig-~
o~/o~
090412@98 1i: 24 92Na317255 BEEZ ELECTRIC PAc~ 0i
RECEIVED
~~~':s>, SEP 0 8 2008
Aivisim~ of irepaction 9erviees
215 C6uaeh AW~eatw
+~ ~ ++sp DEPARTMENT OF
°°"'`°~'' ~"' Sdd~"'"~" COMMUNITY DEVELOPMENT
4:tCce ~~7A-z3ain~i
~. FPx sxu-zs~sos~
INSPECTION SERVICES DIVISION
~lect~ic ~s ta~~at~oaa Ve~at~icataoo
(I) (We) ~eez Eleclai~.~
,~i~ t~shkosh ~ 54904
have been coxitra~cte~d to pe:forrn electric i.nstallatian work for Marx Mechanical,
at tlae foliowirag address; 15?3 Glaestciut Street.
The nature of the w+ark consists of
® Reconneaction or new circuit for tepla.^.emeztt Heating Plant atisUor AJG Condenser.
ll`econne,ction or new circuit for teplacert~ent Electric Water Heater.
~ Reconne:ctioz~ ofthe Service Er~tran.ce Gable, Ntetcr Box, alterations to receptacles ~;rui
lighting :fsxtures dtu to siding / soffit installation. Note: New Service Entrance
Cables wrill req~iire a separate pcrnit,
Rccannc:ction or ncg~ circuit for other permanently wired appliances /fixtures.
Ot1~er
The value of this w~:rrk is $250.OQ
t hereby verify this +~ork will be performed by an emplayce of this company and further verify
the recootteatiot~ / ir.~stattataon will be done in oampliance with manufacturer aitd Electric code
requirements.
C !
Gary Biesinser ~+14I2008
(Signs f omp~any facer) --