HomeMy WebLinkAbout0133389-HVAC (boiler) CITY OF OSHKOSH No 133389
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 665 W 9TH AVE Owner REUBEN J DREXLER Create Date 10/09/2008
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. 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
140,000
Use/Nature
of Work
EIV SIGNED BY
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: Date 10/09!2008
Permit Voided
Parcel Id # 1305660000
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 resUictions 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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050 r
Fax (920)236-5084 ~t
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 narticipatin~ in the Permit fee Account Svstem 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 applical:ion. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
I^ I,, ~ q n,,' DATE ~~^ g ~~
JOB ADDRESS ~ W V'' -v l~ ~ ~1~.
OWNER ~~~•'~ U I~~~.e1L
CONTRACTOR M X MECHANICAL INC
CHECK 0 ALL APPL)~CABLE
USE CATEGORY
I~I,Single Family ^ uplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL 1P3Gas ''_. ^Electric ^Solid SYSTEM ^New ~9Replace
^Oil ^Solar ^Other
TYPE
^Forced Air ^Radi ^Steam ^A/C ^Vent
IS CHIMNEY BEING 1NED I~No ^Yes -LINER SI;
Note: All chimneys shall b sized per the BTU's being vented.
CHIMNEY TYPE Chimney A l~Chimney B
HEAT LOSS As Approved ®Existing
BTU RATE mAs Per Plan ^Variable
^Electric (lltiOt Water ^Suppl. ^Con. Burner
~E & 1VIANUFACTURER
^Direct Vent ^Other
^Not Applicable;
Other Value l~(~ (~~~ ~~ ~~PVt
DESCRIPTION / SCOT ,E OF ALL WORK BEING DONE (~~P(,(~cC ~ tI'O 1 wA'1~-2
~0 ~ ~ W~ eZ MC (~i~l M ~ CC-~ 5 SOD
'' ~~nn ~
VALUE (Including labo and -naterials) $ ~JaO
ELECTRICAL CONTR~~TOR (for projects not requiring an EIV Form) `~-e e-
o~~o~
10f0B1200$ 18:57
„n
9202317255
GYry ol'~:Mhlami~
Uivieiot5 of U+~Dktiee S~w+eM
215 G7xcrch Avenue
PO HoK l 130
oshimeh VV[ 54903-1130
Ollios 1126-Z36-S03D
F.~z 92f1.736.SOi4
BEEZ ELECTRIC
Electric Installation Verification
(~ {We) Beex Elec~lric.,_Ine,
2951 S, O~Eilcwood Rd, Oshkosh WZ 54904
have been contracte~~ to pet'£ot'ttt electric i>tzstallatiorAtyank for Marx Mechanical,
at the following adclress: 665 W 9~' Avcnue.
The nature of the work consists of
PAGE 01
Reconnection or new circuit for replacement Heating Plant and/or .t~/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater,
Reeonne~etion of the Service Entraaee Gable, Meter Box, alterations to receptacles aid
lighting :fixtures due to siding / soffit installation. Note: New Service Entrance
Cables v~~ill require a separate permit.
^ Reconnection ar new circuik far atb.er pe,~nanently wired appliances /fixtures.
^ Other
The value of this w~ark is $250A0
l hereby verify this work will be performed by as employee of flue company and further verify
the reconnectioln / i1:KStal,latian will be done in compliance with manufacturer and Electric code
re~rirements.
. ,
Cary Biesinger ~,Q~Q~,/~QQ~
(Signature f C mp~a>ty Offs er)