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
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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