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HomeMy WebLinkAbout0140578-HVAC (a/c) 6 CITY OF OSHKOSH No 140578 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 610 N EAGLE ST Owner EUGENE WINKLER JR Create Date 04 /20/2010 Contractor MARX MECHANICAL Category 501 - Residential -Air Conditioning Plan Fuel 1 1 Gas 1 J Oil 1 L Electric Solar I I Solid System n New I n Replace I n Other Li Forced Air LJ Radiant LJ Steam L✓J A/C L Vent Electric Hot Water J Suppl. I Con. Burner 1 Chimney Type J Chimney A 0 Chimney B • Direct Vent Q ) Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / INSTALL NEW 2 -1/2 TON A/C, EIV SIGNED BY BEEZ ELECTRIC * *check #8939 of Work Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: ��� Date 04/20/2010 0 Permit Voided I Parcel Id # 1604110000 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 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 Fax (920) 236 -5084 OJHKVJ H. ON THE WATER 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. If you are a co participating in the Permit fee Account System and have adequate funds. check here if you want this processed through your account f ** Advisory For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical ontractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted • 'Eh the permit application. Applications submitted without an EIV when such is required, will not be rocessed for Permit Issuance and will be returned for completion. DATE ( . 1 6 OB ADDRESS (0 I 0 P\I G-L f WNER P\ C � J I NJ � -lYYL ONTRACTOR MARX MECHANICAL INC HECK 0 ALL APPLICABLE SE CATEGORY A Single Family ❑Duplex OMulti Fanily ❑Rental ElCommercial 0 dustrial FUEL ❑Gas 'Electric DSolid SYSTEM New [Replace DOii ['Solar E'lOther TYPE Forced Air DRadiant DSteam EgA/C DVent DElectric OHo:Water DSuppl. ['Con. Burner IS CHIMNEY BEING LINED KINo DYes - LINER SIZE & 11 NUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A DC zimney B lIIDirect Vent ,; ❑Other HEAT LOSS DAs Approved DEtisting Mot Applic; BTU RATE CIAs Per Plan DVariable Other Value a (a i DNi f - DESCRIPTION / SCOPE OF ALL WORK BEING DONE I TY-4 t-- P- o X 1 13 - 0 3o - a,o �wx VALUE (Including labor and materials) $ 0 O ' 0 0 r ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ��- A x : e46 � r2. 07/07 f � 04/16/2010 13:42 9202317255 BEEZ ELECTRIC PAGE 01 City of Oshkosh Dlveei*n of inspection Services 213 Church Avenue PO 8o:t 1130 Oshkosh w1 349034130 Office 92o-239.3050 rn1 wniww Fex 990.23650114 Electric Installation Verification (1) (We) Beez Electric, Inc. 1901 Osborn Ave Oshkosh Wi 54902 have been contracted to perform electric installation work for Marx Mechanical Inc, at the following address: Nancy Winkler 610 N Eagle St Oshkosh, WI 54901. The nature of the work consists of : (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and Iighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. ❑ Reconnection or new circuit for other permanently wired appliances / fixtures. ❑ Other The value of this work is 5350.00 I hereby verify this work 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. Gary Biesinger (Sign of O impa Officer) 04/16/10