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Home My WebLink About2011-HVAC (a/c) 0 CITY OF OSHKOSH No 145950 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1122 ADAMS AVE Owner EDWARD D HOLLADAY Create Date 05/18/2011 Contractor MARX MECHANICAL Category 501 - Residential -Air Conditioning Plan Inspector Nicole Krahn Fuel U Gas L Oil U Electric 1 I Solar Solid System n New 1 4 Replace ❑ Other J Forced Air Li Radiant Li Steam u NC Li Vent Electric Hot Water J Suppl. I Con. Burner Chimney Type 0 Chimney A O Chimney B • Direct Vent O Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value Use /Nature SFR / Replace a/c. EIV signed by Beez Electric. of Work Fees: Valuation $3,325.00 Plan Approval $0.00 Permit Fee Paid $61.00 Issued By: C .,2_/ Date 05/18/2011 0 Permit Voided I Parcel Id # 1605620000 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 Oshkosh, WI 54903 -1130 • Phone (920) 236 -5050 '' (�} Fax (920) 236 -5084 4 [HICI t • ON THE WATFR 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. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account r( ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted . with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 3 -11 JOB ADDRESS ( L - 4D f U OWNER T J 0 l.{ tAOLL l'C 0 PC(-1 CONTRACTOR I `l'C- (f\ 1 C) C.- fv�C� CHECK ® ALL APPLICABLE USE CATEGORY D ingle Family ❑Duplex DMulti-Family ❑Rental ❑Commercial ❑Industrial FUEL ❑Gas ' Electric ❑Solid SYSTEM ❑New l Replace ❑Oil ❑Solar ❑Other TYPE ❑Forced Air ❑Radiant ❑Steam IAA /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED TI•o ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑ Chinney A ❑Chimney B Direct Vent ❑Other HEAT LOSS DAs Approved ❑Existing Not Applicable BTU RATE DAs Per Plan ❑Variable Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE K fLI L 1 MC UtI l I - k LO\IN i1/440 ,KC(1 UDy 0 -tor.I UQ - 1 ? �w VALUE (Including labor and materials) $ E C E I\/ E D MAY 18 2011 .ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) DEPAR1 Muff OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION • MAY /16 /2011/MON 10:03 AM FAX No.9202317255 P.001 /001 CityorOsbkosb AWisq� of Inspection Services 215 Church Avenue PO Box 1130 ONNcoal WI 54903 -1130 Office 920 - 236.5050 ON nie A Fax 920 - 236 -5084 Electric Installation Verification (I) (We) Beez Electric nc. 1901 Osborn Ave Oshkosh Wi 54902 have been contracted to perform electric installation work for Marx Mechanical Inc, at the following address: Ed Holladay 1122 Adams Ave Oshkosh. WI 54902 The nature of the work consists of (Check One or Describe the Nature of Work) El 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 lighting 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 $350,00 1 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 /16/11 (Si _: ture of Comp Officer)