HomeMy WebLinkAbout0132737-HVAC (furnace)/~ CITY OF OSHKOSH No 132737
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 820 W BENT AVE Owner MARCELLA L KING Create Date 09/08/2008
Contractor MARX. MECHANICAL Category 500 -Residential-Heating & Ventilating Plan
Fuel /~Ga~ Oil Electric Solar Solid
System New ~ Q/ Replace ~I ^ Other
/ Forced Air Radiant 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 90,000
Use/Nature
of Work
EIV SIGNED BY
Fees: Valuation $3,255.00 Plan Approval $0.00 Permit Fee Paid $59.50
Issued By: ~1~-- ~ Date 09/08/2008
^ Permit Voided
Parcel Id # 1207850000
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.
RECEIVED
City of Oshkosh SEP 0 S 2008
Division of Inspection Services DEPARTMENT OF
P.O. Box 1130 COMMUNITY DEVELOPMENT
Oshkosh, WI 54903-1130 INSPECTION SERVICES DIVISION
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.
^Commercial
• 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 particip_atin~ in the Permit fee Account S sty em and have adequate funds, check here
~vou want this processed through your account n
** 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 E1V when such is required, will not be
processed for Permit Issuance and will be returned for completion. ~/
DATE ~~~
JOBADDRES~SA ~a~ VJ ~~"'" ~~
OWNER I ~"I ~C~'I ~~1 N (~"
CONTRACTOR MARX MECHANICAL INC
CHECK E~J ALL APPLICABLE
USE CATEGORY
I~Single Family ^Duplex ^Multi-Family ^Rental
FUEL ~GaS ^Electric ^Solid SYSTEM
^Oil ^Solar
TYPE
l~Forced Air _ ^Radiant ^Steam ^A/C ^Vent ^Electric
^New
^Qther
1 I~ i )
pN THE WATER
^Industrial
®Replace
^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No I~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 C]Other
HEAT LOSS ^As Approved ®Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable Other Value q00 U U ~~ I ~PUr
DESCRIPTION /SCOPE OF ALL WORK BEING DONE h~~~r ~ ~ wl
(XT1~1NDu- M00~-L~- ~-b l--~tV ~f~rC' --O~c~ ~rU~ 000 ~SaU 1N~~r
w
VALUE (Including labor and materials) $ ~ r~~5 `
ELECTRICAL CONTRACTOR (for projects not requiring an ElV Form) ~~
o~/o~
09/0412098 11:24 9202317255 BEEZ ELECTRIC PAGE P,2
RECE~1/ED
~,N4t~:~h SEP 0 8 2008
Aivis$r, of incpeclion Servkn~
213 Chsrch A~muo
PO Box 1;34
abknu~urr saea3aiaa DEPARTMENT OF
ot~ !'m.~,'~.snsrr COMMUNITY DEVELOPMENT
` F~ 9z4a3a~s4s~ INSPECTION SERVICES DIVISION
~iect>nic ~nsta~ation Verification
(1) (We) Beep Elec~cric n.c.
.~. v~'s~ ~ ~ aL~1iZ
have bEen contracted to perform electric installatipn wt~rk far l~axx. Mechanical,
at the following ada'tress: $20 W. Scent Avenue.
The nature cf the w~csrk consists of
Recotxne~ction ax ttew circuit for replacement Heating Flant and/ar A,~C Condenser.
C Recvnne:ction nr new circuit for replacement Electric Water l;-ieater,
[a Reconnection of the ;3ervice Entrance Cable, lvleter Box, alterations to rcccptacics and
lighting ;Yxtures due to siding / soffit installetion. Note: rlcw Service Entrance
Cables v~~ill require a separate permit.
^ Reconne.ction or new circuit for other permanently wired appliances / £txtures.
^ Outer
The value ofthis wr,~x~ is $250.40
t 1lereby verify this ~~vork vry11 be performed by an employee of this company and foc#ttar verify
the rcuanncctian / u!~stallatian will be drone itt cot~xpliarace with manufacturer and Electrtic code
requircrncnts.
~~ ~ Biesin er 9/41200
(Sim re o C ;my o . ecr}