HomeMy WebLinkAbout0100957-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 820 W NEW YORKAVE
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 JERRY J NAULT
Category 500- Residential-Heating & Ventilating
L~ 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
100957
04/23/2003
Other J
Vent J
Use/Nature SFR/Repalce oil boiler with Weil McLain CG9-8 boiler, natural gas.* EIV from Beez Electric attached.
of Work
Fees: Valuation
Issued By:
$5,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$86.00
Date 04/23/2003
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
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
incomplete applications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to la~spection 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 contractor participatin~ in the Permit fee Account System and have adequate funds, check here
if '~:ou ~4~ant this processed through vour account ~]
DATE q__C~--O'~
.oa r,m ss "lc)kc
owNE td' cT
CONTRACTOR
CItECK ~ ALL APPLICABLE
USE CATEGORY
~Single Fmnily F-1Duplex
F1Multi-Family
F'lRental F1Commercial IEllndustrial
FUEL ~lGas FlElectric [2Solid
F1Oil FtSolar
TYPE
IEIForced Air V1Radiant F1Steam F1A/C [2]Vent
SYSTEM FINew t~lReplace
tEIOther
V1Electric IXlHot Water E]Suppl. FqCon. Burner
IS CHIMNEY BEING LINED IDNo 12lYes - LINER SIZE
Note: All ch/xrmeys shall be sized per the BTU's being vented.
& MA/NWUFACTURER
CHIMNEY TYPE 1-tChinmey A F1Chimney B F1Direct Vent
HEAT LOSS ~_ t-lAs Approved [qExisting F1Not Applicable
BTU RATE ~As Per Plan F1Variable E]Other Value
F1Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Includix~g labor and all materials including light fixtures) $ ~L) --
ELECTRICAL CONTRACTOR ~
[] For applicable projects, an Electric la~stallation VeriEcation form, signed by the Electrical Coatractor, must be
attached. If not attached or not applicable, a separate Electx-ical Permit is required.
9/02
g4/2~/'2003
BEEZ ELECTRIC
P~GE
Electric Installation Verification
have ~e~ c. ogr~te,d to y~_ffu~m electd¢ inst~lb.tion work for
the fcllc,~l~g address: 8 ~o_~.~__we~..t. New York Av.e.u,u~e.
The m~iur,-, of thc work c, on~ist{ of: (Che~k One or Describe the Nature of Work)
Reconne~fion or near drcuit t~ repla~n~nt l-~aiing Plaut ~or ~C Condign,
'g.~o~ion or n~ cir~t f~ r~la~ Electric Wa~r Heater.
~o.:m,~ion ~Lh,~ Sen'~e Entt~.u~e Cabb, Meter Box, ~J.ter~io~ to ~ceptacles ~d
!J~fing :~mures ~e to ~:~,~i~ / sc.ffit ~m~,l~:~[on. Note; N~- Ser,<ce Enr~ee C~les
xdl~. req.tfi~e ~ separate p:~{2
R.,~gOm~ect~.o~ qt new cir~it for other pe~anmtly ~ a~pliane~ l fi~res,
Othe
I hereby ~ri~ this work will be performed by an employee of this oompany and further verify the
meonne~tion / installation will be done in cotnpliance with manuheturer and Electric cod,
equiretuent~.
(Signature of Comp"~y Officio