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Home My WebLink About0144079-HVAC (furnace) CITY OF OSHKOSH No 144079 \.* OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 913 W 8TH AVE Owner JOSEPH F DREXLER Create Date 11/15/2010 Contractor MARX MECHANICAL Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas U Oil Li Electric u Solar J Solid System ❑ New 0 Replace I ❑ Other u Forced Air u Radiant J Steam J A/C J Vent Electric ❑ Hot Water U Suppl. U Con. Burner Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 10 As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by homeowner. of Work Fees: Valuation $2,370.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: jry Date 11/15/2010 ❑ Permit Voided Parcel Id # 0606000000 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 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 r Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 0/W0M 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 8100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit ee Account System and have adequate funds. check here if you want this processed through your account -- Advisory - For applicable projects, an Electrical Installation Verification (EIV) foam, signed by the Electrical Contractor or Homeowner (for rations allowed to be performed by the owner) must be submitted with the permit application. Applications submitted without an EIV when such is rem, will not be proceed for Permit Issuance and will be returned for completion. DATE /1 11 - 1( JOB ADDRESS I PN RECEIVED OWNER E n x �`� NOV 1 5 2010 CONTRACTOR MARX MECHANICAL INC DEPARTMENT OF COMMUNITY DEVELOPMENT CHECK ® ALL APPLICABLE INSPECTION SERVICES DIVISION USE CATEGORY EdSingle Family C1Duplex CJMu1ti- Family [Mental IJCommercial Dlndustrial FUEL Writs DElectric OSolid SYSTEM DNew ,$]Replace 130i1 OSolar DOther TYPE (i Forced Air DRadiant OSteam DA/C OVent DElectric Elliot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED DNo OYes - LINER SIZE 3 & MANUFACTURER 2 1( t— Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney A DChimney B li?FDirect Vent DOther HEAT LOSS DAs Approved DExisting Dtot Applicable BTU RATE DAs Per Plan DVariable ®Other Value 1 V DESCRIPTION / SCOPE OF A (.710/ . WORK BEING DONE .(- -" PL I %-J wl ll f -� tva) M&irLi /14 o -0 v 7 VALUE (Including labor and materials) $ v;, , ) 1 � ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) �"�"( wN --- 07/07 (4•1) City ooOshkosh C i O ohlnsec[ion Services 215 s Ch Avenue PO Box 1130 "\ Oshkosh WI 54903 -1130 Office 920 -236 -5050 ON THE WAT R Fan 920- 236 -5084 Electric Installation Verification I (We) kOt O (Electrical Contractor Name) �� / G l ��J \' S P `im OSt14 t/\l� J4 l 6 c� (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for MARX MECHANICAL INC 9 � ., (Name of party contracted to) at the following address: l t - -.i 1 \ . (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) \ / re Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ N 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. 91K b,v-b„ - Joe D- (Signature of Company Officer) (Print Name of Officer) (Date) 902