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HomeMy WebLinkAbout0132776-HVAC (furnace) CITY OF OSHKOSH No 132776 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 645 W SOUTH PARK AVE Owner LUCILLE G WEEKS LIFE ESTATE Create Date 09/09/2008 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 Chimne B Direct Vent Not Applicable Heat Loss As Approved Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value 100,000 Use/Nature SFR /REPLACE FURNACE, ' EIV SIGNED BY BEEZ ELECTRIC **check #7571 - - - - of Work Fees: Valuation $3,750.00 Plan Approval $0.00 Permit Fee Paid $67.00 Issued By: Date 09/09/2008 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 ^ Permit Voided Parcel Id # 1304550000 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 if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 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. ~~~~~ C?Af 7tiE WATER • 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 $100.00 plus the normal permit fee, which ever is greater. OR _1f you are a contractor participating in the Permit fee Account System and have adequate funds check here tf you want this processed through ov ttr account I~ ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for complerion. ~,~1 , DATE ~~~ JOB ADDRESS ~~~ ~~~'~,~J~ ®H~ I ,~~7 OWNER ~1 L~ w~ C~-S ~' ~l I~ (~-f'1~~ T~ CONTRACTOR MARX MECHANICAL INC CHECK ~ ALL APPLICABLE USE CATEGORY 'Single Family ^Duplex ^Multi-Family FUEL Gas ^Electric ^Solid ^Oil ^Solar ^Rental ^Commercial SYSTEM ^New ClOther ^Industrial l~Replace TYPE lglForced Air _ ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED I$No ^Yes -LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ~1Direct Vent C70ther HEAT LOSS ^As Approved Existing ^Not Applicable BTU RATE DAs Per Plan ^Variable ,~lO,t/h'~er,,Value ~1f01 ~~(1 ATV itiPUi`- DESCRIPTION /SCOPE OF ALL WORK BEING DONE /'~CYI.~>" F TH"C F~C~N>~F W 1 ~ ~ ~i~~-r n~ t+~G rt cam. r-c~ ~7' w VALUE (Including labor and materials) $ ~~y V ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~~~ o~/o~ ~~r~~ra©~s ee:as r tN. INY Wl11 AA ~~ea?1~25F City of CfrAtkach I}tvis!rnl pF Nwitecti~r. 3erui~es 21.5 C7a~lch Avemx POBrnc li3t~ c~xfilmnitwl Sd903•ii3C, Jl~a 92D-2!&SQ517 Fax 92Q-236.51184 BEEZ FLE~'TRIu ~'aiectric Installation Verification (1) (w'e) Beez ~le~lrto. fnc. 2951 S_O:ilewood Rd_ Oshkosh Wes' SA~904 have been conbracte~3 to perform clec:trio installation work far iy[atx l~ecltaza.icsl, at the following adr'!ross. 645 ~~. South Park Avenue. The nature of the work eo~sists of PAi~ 01 ~; Recvnne~ction ar new circuit far replace~rn.ent 1•leating Plant andJor A,'C condenser. Reconne;coon or rew circuit for replacement Electric Water Heater. Recottz~eiction t~f the Service Entrance ~ab1e, Meter Elox, aXteraziatta to receptacles aqd lighting 1:%xtures due to siding / soffit installation. Note: Ze;ew Service Entrance Ca1a1~ z~~~ill r~uire a separate pet't'ait. Reconne!ctior_ or ixew circuit for oth+~r permanently wired appliances J .~zxtw~s. Other The value of this wl,lrk is 5250.00 Z hereby verify thiE ~~vork will be perfarnrted by ava employee of this company and faz~ther verify tb~s raconnectior: / ir;~stallation will be done in compliance with manufacturer aa~.d Eloctric code requirerzxentp. Jd ` ~'' C3 Bies~n;,,,~ger 9/.8/2008 {Si f omp;iny car) 1