HomeMy WebLinkAbout0133561-Plumbing (furnace)/~'~ CITY OF OSHKOSH No 133561
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 506 W 7TH AVE Owner ARLIS J TECHLOW Create Date 10/17/2008
Contractor MARX MECHANICAL Category 500 -Residential-Heating & Ventilating Plan
Fuel /~ Ga~ Oil Electric Solar Solid
System ^ New ~ ~ Replace ~ ^ Other ___ ___ J
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 120,000
Use/Nature
of Work
Fees:
Issued By:
Plan Approval $0.00
^ Permit Voided
Date 10/17/2008
Parcel Id # 0600710000
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
Date
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, Finai, 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 pertormed within two business days from the time the project is ready.
Permit Fee Paid $59.50
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
RECFlVED
OCT 15 2008
DE~YF•42TP•'1E=N-i' OF
COMMUNI i `( JEVELt7PMENT
INSPECTIL~~ ~ ;3E:'",!'..'= _~ tY ~1IS10N
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
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• 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 participating in the Permit fee Account Svstem and have adequate funds, check here
i~you want this processed through your accoz+nt
** 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 applition. Applications submitted without an EN when such is required, will not be
processed for Permit suance and will be returned for completion.
DATE '~~~~'~~
JOB ADDRE/S~ S Jr ~ V v ~ ~y1 ~+ V
OWNER a~12L1 S ~ '~..~{-{'l-U ~I
CONTRACTOR ARX MECHANICAL INC
CHECK 8 ALL APP CABLE
USE CATEGORY
Single Family uplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL (~IGas ~ ^Electric ^Solid SYSTEM CJNew [~2eplace
^Oil ^Solar ClOther
TYPE
I~]Forced Air ^Radi t ^Steam ^A/C ^Vent ^Electric ^Hot` Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING INED l~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall b sized per the BTU's being vented.
CHIMNEY TYPE Chimney A ^Chimney B `C~Direct Vent ^Other
HEAT LOSS As Approved 181Existing ^Not Applicable
BTU RATE As Per Plan ^Variable C~Other Value ~c~UUU ~~ ~IyPI-(T'
DESCRIPTION / SCO E OF ALL WORK BEING DONE R~u~-e.~ ~~ wl~~~ ~~
M P~-tT~ M~ Gl• i c av c. NAB- G f1 S 1=u~r+e~,5
w
VALUE (Including labo and materials) $ 3 ~gU
ELECTRICAL CONTRr~CTOR (for projects not requiring an EIV Form) !L ~ Z
07/07
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electric Installation verification
(~ (W~) eez Eleclri~._ir~
51 S. O~ikwood Rd. Oshkosh V,~I 54904
}gave been contracted to perform electric installation. work far Mazx 1Vleclxat~xcal,
at the following adclress: 506 W 7°t A,ve.
The nature of the w~ark consists of : (Check One or Describe the Nature of Work)
® lteconnectian or new circuit for replacement Heatiag Plant and/or A/C Condenser.
^ Recomae;ctiort ax rtew circuit for replacement Electric Water Heater.
^ Rcconneation of the Servict Entxa~ce Cable, lVlete~ Hox, alterations to receptacles acrd
lighting fixtures due to siding / soffit installation. Note: New Service Erttrat~.cc
Cables aril! require a separate permit.
^ Recozaaxection or new circuit for other pernianerxtly wirEd appliances /fixtures.
^ ~~' _.
The value of this wa~rk is $250.00.
l hereby verify this ~uvork wi11 be pcrformcd by an employee of this company and further verify
thereconnection / i~istallation will be done in compliance with manufacturer and Electric code
requirements.
ti
Biesinger 10/14f08
igna o Coup Officer)