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HomeMy WebLinkAbout0133084-HVAC (boiler)CITY OF OSHKOSH No 133084 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 15 EVELINE ST Owner CATHLEEN G GROSSKOPF Create Date 09/24!2008 Contractor MARX MECHANICAL Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric ~ ^ Solar ~ Solid J System ^ New ~eplace ~ Other Forced Air Radiant -._. Steam J A/C __I 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 140,000 UselNature of Work iFR /REPLACE BOILER, EIV SIGNED BY BEEZ ELECTRIC **check #7622 Fees: Valuation $4,120.00 Plan Approval $0.00 Permit Fee Paid $73.00 Issued By: ,~,)- Date 09/24/2008 ^ Permit Voided Parcel Id # 0804350000 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 Agent/Owner Address 4535 STATE ROAD 91 OSHKOSH 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. 73 w City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 '~'` Fax (920)236-5084 ~l 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 narticinatinQ 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) most 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. (,~ DATE 1 ~ ~~ JOB ADDRESS ~~ C; U~'L~' L/\~ ~ E ~JST OWNER C.f"1 ! 11 "~ ~ -w ~ s~~-O /' F CONTRACTOR MARX MECHANICAL INC CHECK ®ALL APPLICABLE USE CATEGORY Single Family ^Duplex ^Multi-Family FUEL ~GaS ^Electric ^Solid ^Oil ^Solar TYPE ^Forced Air ^Radiant ^Steam OA/C ^Vent IS CHIMNEY BEING LINED ~1No ^Yes -LINER SI; Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A Chimney B HEAT LOSS ^As Approved ®Existing BTU RATE ^As Per Plan ^Variable ^Rental ^Commercial SYSTEM ^New ^Other OIndustrial Replace ^Electric ~IHOt Water ^Suppl. OCon. Burner ~E & MANUFACTURER ^Direct Vent OOther ^Not Applicable L~Other Value «U SOU dT-l~ ~NpU~ DESCRIPTION /SCOPE OF ALL WORK BEING DONE t~G1' lam'(? ~ fFBT- W~1A'I~~ ~m W VALUE (Including labor and materials) $ ~~0"(1 ! ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~~'7 ©WNt~ o~/o~ EP-24-2008 10:23 AM MARX HEATING 920 235 6210 99i 24i:.~9dJ3 1B: 3? ~li02317~55 - - - ~ .. .. BE'EZ ELECTRIC P. 01 PAGE 01 CJIy or<:rdJlm~e z Ia Gscon nt~rrw Oleos !rd9-1]baOiD ~-?' 14t 91U1ld.SON i~N~PcN~. ~-I ~~ " Electric Installation V~t'i~ica#o>a (~ (u'e) h~Ia~ 2;~ . O•E W d g Y~ ~ have bey eoantraetad to pac~tarr« Gleettic iz~.stallation work for ~ZE.~4S'rh3i~,~„ ~~ at the following adtlnes: 1 ~ Evelille Stems, 'The nacuic~e of the work consists of action or new circuit far rcplaceroent Hestia Plant and/or A/C Cot~d~. Aeconae:ction or new Circuit for replacement Electric War Heater. Reronee:ctian of the 8etvice Z~ntrartee Cable, Meter Box, alterations to recep*.aeles a.nd lighting 'E"ixtureg due tp riding / sot$t installation. Note: view 5erviee Entrance Cuolca r~~ill roquire a separate permit. Reco~lctioh or acw circuit for athcr permanently wired appliances / iixtuzes. Other The value of tltie vc~~;nk is S~gQQ I hereby vec1E~+ this ~lvork will be perfvcu~ad by aJ] eniplclyee of tluis Cv:17Gtpany sari .further verify the roeonnecdon / u;lstailacion will be dens in oompllauee with wanufactuxeor and Electric code requiremenea. ~- ~ C,}g~ Him /24,'2 (S~ of Comp ffic~r) .~