HomeMy WebLinkAbout0133560-HVAC (furnace) CITY OF OSHKOSH No 133560
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 20 W SOUTH PARK AVE Owner JULIE L HUNT Create Date 10/17/2008
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
^J
Chimney Type Chimney A Chimney B Direct Vent Not Applicable i
Heat Loss As Approved Existing Not Applicable Value
__
BTU Rate As Per Plan Variable Other Value _ _ 135,000
Use/Nature
of Work
Fees: Valuation $4,185.00 Plan Approval
Issued By: ~~
$0.00
Permit Fee Paid _ $73.00
Date 10/17/2008
Permit Voided
Parcel Id # 0303700000
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 appligtion 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 pertormed within two business days from the time the project is ready.
73 `'
City of Oshkosh ~ ~ ~. ~;,~,~,
Division of Inspection Services ~ ~ -' ~ .4
P.O. Box 1130
Oshkosh, WI 54903-1130 OCT 15 2008
Phone (920)236-5050
Fax (920) 236-5084 DEF4.lt~'i~'1tNT OF
COMMIJfvp'-Y I7EVELOP~EEi ~y
HVAC PERMIT AP~~q~~'pO~v1C~s ~3Iv`1,lOIV
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I_f you are a contractor participatin in the Permit ee Account System and have adequate funds check here
if you want this processed through your account
** Advisory -For applXcable projects, an Electrical Installation Verbcation (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with the permit applic tion. Applications submitted without an EIV when such is required, will. not be
processed for Permit I suance and will be returned for completion. ~ / Q
', r /~ DATE ID~/"l~0
JOB ADDRESS ~O VV SOI~ I N Y~.~ ~j/~
OWNER (,~ ~N I
CONTRACTOR ARX MECHANICAL INC
CHECK 0 ALL APP ICABLE
USE CATEGORY
]Single Family Duplex ^Multi-Family ^Rental ClCommercial' ^Industrial
FUEL Gas ^Electric ^Solid SYSTEM C7New ~1Replace
^Oil ^Solar ClOther
TYPE
Forced Air ^Radi t ^Steam ^A/C ^Vent ^Electric ^Hot'Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING 1NED ^No L~Yes -LINER SIZE ~~X 35 ~ & MANUFACTURER ~ I'L-~~-
Note: All chimneys shall b sized per the BTU's being vented.
CHIMNEY TYPE Chimney A ^Chimney B (;~1Direct Vent C70ther
HEAT LOSS As Approved t$Existing ^Not Applicable
BTU RATE As Per Plan ^Variable ®Other Value ~ 351000 (~IU INPUT
DESCRIPTION / SCO E OF ALL WORK BEING DONE p,~P(,~e,~ TTt~ ~ jtifl.~J/- ~'~
W 1-TTI FINN 1C 1~-1-k Gla l MP- (oU 0- ~ 35 NH-r_ , Gf~s ~U2N/~~~
'I
VALUE (Including labo and materials) $ "~ ~ ~~'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ Z
o~/o~
16!1412998 11:50 9202317255 BEEZ ELECTRIC pq„~ 0Y
~..
~~ ` - -
c~ey or!ktUcash
°~~t°~'~°°"~ OCT 15 2008
ais cm~~naew,s
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INSPE~,s~zL a~, ~ :~:' i~ ~- f:~~~~~Sl~i~
Electlr~c installation Verification
(t) (We) BCeec~ lect~c. Inc.
2951 S. O,~cwood Rd. Oshkosh Wl 4904
have been. contract~:d to perform electric installation work for Marx Mechanical,
at the following address; 20 W Soutx- )aarlc Ave.
The Ttature ofthe w~~ork consists of : (Check One or Describe the Nature of Work)
Roconnc~tion or rlew circuit for replacement Heating Plant and/or A/C Condenser.
Reconnc,ction or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrancx Cable, Meter Box, alterations to receptacles ~~nd
lighting fixtures due to siding I soffit installation. Note: New Service Entrance
Cables trill require a separate permit.
^ Reconnf:~etion ar new circuit for other permanently wired appliancES / f xtures.
^ Qther --
The value of this w,)rk .i.s $250.00.
I hereby verify this ~worlC will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
..~, '~ ` ~ Garv Biesinaer l0/14 p$
i8~ ornpaay fficer) --