HomeMy WebLinkAbout2003-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2245 WALNUT ST
Contractor MARX MECHANICAL LLC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MR/MRS OLEN E HILL
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100493
03/28/2003
Other J
Vent J
Use/Nature SFR/Replace A/C unit with a 2ton unit. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,400.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 03/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number
(920) 235-6510
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
NAR 2 8 200,3
DEPARTBENT OF
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THE WATER
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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
]f ¥ou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account [-]
JOB~Dm~SS ~2qCo W~L~t~t"r %T.
Om, mR 0CEn,,t~- KeC~lt, l~ ~tcL
CONTRACTOR H[~ H~\~ II',l~.,
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family F-1DUpleX
[]Multi-Family [Rental V1Commercial [InduStria1
FUEL glGas l~Electric []Solid SYSTEM [New l~Replace
V1Oil FISolar V1Other
TYPE
[3Forced Air [Radiant [Steam ~A/C [3Ven~ [3Electric ~[tot Water VlSuppl. V1Con. Burner
IS CHIMNEY BEING LINED ~No [3Yes - LINER SIZE & M/~NUFAC't'0RER
Note: &ll chimneys shall be sized per the BTU's being yes, ted.
CHIMNEY TYPE
l~ EAT LOSS
BTU RAq['E
[ Chi~r~ney A
V~As Approved
[3As Pe~ Plan
[Chimney B
[_~ Ex/sting
[~Variabte
Direct Vent
Not
E]Other Vah~c
DESCmPTION O17 ALL WORK BEING DONE
[Other
VALUE (Including labor and all materials including light fixtures) $ lq0~) ?0
EI.ECTRiCAI, CONTRACTOR ~ OR [~ Electric Installation Verification for) l attached(If Replacement)
Elecirical ,';~slal/an'o/~ of newA'cplacement equipment shall be done ~), h'censed contractors.
3/02
02/23/2003 00:30 92023L7255 ~ BEEZ ELECT~ZC P&GE 83
Electric Installation Verification
(I) (We) Be¢~ Electric Inc
521 _W-1..,.iaLh. ,Oshkosh WI 54902
have been comracted ~o perform electric installation Work for h~rx.lVl,e.c~lan].caI.In.c,,
at the following address: 2245 Walnut Street.
The'nature oftlae work consists of: (Check One or Describe the Nature of Work)
Reconnemion or new ciroait for replacement Heating Plant and/or A/C Condenser.
Reeonnection or new circuit for replacement Electric Water Heater.
Remnnection of the Service Entrance Cable, Meter Box, ~lterations to receptacles and
lighting fixtures du~ to siding / soffit installation. Note: N~v Service Entrance Cables
will require a ~eparate permit.
Reeonnection :or n~w cir,uit for other permanently wired appl{ances / fixtures,
Other
The value of this work is $150.00
I hereby verify this work will be performed by ~ employee of this company and further ,¢efify the
mcormeetion / installation will be done in compliance with manufacturer and Electric code
requirements.
~arv Biesin~ 01/23/03