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HomeMy WebLinkAbout0132736-HVAC (boiler) CITY OF OSHKOSH No 132736 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 118 W 24TH AVE _ Owner DAVID B BUTLER 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 Q Vent Electric / Hot Wate~ Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applipble Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value 105,000 Use/Nature FR /REPLACE BOILER, EIV SIGNED BY BEEZ ELECTRIC "check #7570 of Work Fees: Valuation $3,375.00 Plan Approval $0.00 Permit Fee Paid $61.00 Issued By: ~ ~ Date 09/08/2008 Permit Voided Parcefld # 1403270000 In the performance of this work, I agree to perform ali 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 starling 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. RECEIVE City of Oshkosh Division of Inspection Services SEP ~ 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 _~~~,„ ON rWF 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 I ou are_a_contractor participating in the Permit fee Account System and have adeauate funds. check here i[vou 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) 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 retarned for completion. q ,-C~/~(~ DATE 1 J y 0 JOB ADDRESS I ~ 0 ~ ~ ~ ~ >~C OWNER ~~~~ ~U~~1Z CONTRACTOR MARX MECHANICAL INC CHECK Q ALL APPLICABLE USE CATEGORY I~Single Family ^Duplex ^Multi-Family FUEL 1~Gas ^Electric ^Solid ^Oil OSolar ^Rental ^Commercial SYSTEM C]New ^Other ^Industrial IgReplace TYPE ^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED~1No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ®Chimney B ^Direct Vent lrlOther HEAT LOSS ^As Approved F.dExisting ^Not Applicable BTU RATE DAs Per Plan ^Variable f,90ther Value ~1~51 ~ U U ~ /1JP(l% DESCRIPTION /SCOPE OF ALL WORK BEING D Intl ~ i~-I (~lFl t_ l~l C~ LH l -~ /~©OL~Z ~~ Ti`I-~ tt~T wfl71~z- (~o~~~~ -`~ SO VALUE (Including labor and materials) $ ~3~ ~'~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) '/`-~-~/ o~/o~ 69~ca~2ee~ 11:24 9202317155 F+EEZ ELECTRIC PA:-E 03 RECEIVED ~ SEP 0 8 2008 :.~ ~ ~~ ° g ~ -~ z P°~"`'13o DEPARTMENT OF i Olficc~'1 p.j350130 COMMUNITY DEVELOPMENT "" "' `"" FR F~ °'`t~'23~-so°~ INSPECTION SERVICES DIVISION Electric Installation Verification {f} {W@} Beet Electric. inc. 2951 .O c~a )ial. Os_ hkash WI 54 Q4 have been contracted to p~rrn elcctzic installation work for Marx Mechani:,al, at the following adci:~ess: I IS VR'. ?4'~ Avenue. 'T'he natiu~e of the w~yrk consists ~f ,~ Rocona~:ction ar new eircuit far replaeernent Heating Plant an~d/nr A,1C Condenser. ReconnE}coon ar new circuit far replacement Electric Watex Heatax. Roconne~ctian of the Serdicc Entrance Cable, Meter Brx, altexations to zeceptaoles and Iigl~ting ihxture~ due to siding. so:( nt installation. Note: ;~1cw Servicc Entrance Gables v,Zll xequire a scparatc permit. C Reconne:etion or new circuit far other permanently -wired appiianccs f fi.xiutcs. Uther The value of this w+:~rk is $25Q.00 i hereby verify tbas ~Narlt will be pzrfos~med by an employes of this armpany ax-~I further verify the rccoranection ,' v:~stallatiota 6vili be done in compliance with manLfmcturer arEd Electric code regirir~nents. `/ ~/ ~j Garv Besin~er i41,2t)~R (Signs o p;~ny fficec)