HomeMy WebLinkAbout0100893-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1152 N WESTFIELD ST
Contractor MARX MECHANICAL LLC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
100893
04/21/2003
Other ]
Vent
Use/Nature SFR/Repalce furnace & A/C with Lennox horizontal furnace modedl GHR26Q2/3-50 50,000 BTU input 92% AFUE and Lennox H529-024 2-ton
of Work condensor.
Fees: Valuation $4,100.00 Plan Approval $0.00 Permit Fee Paid $66.50
Issued By: Date 04/21/2003
Permit Voided
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
RECE]VE(
City of Oshkos~h
DivisionofIns~5~tion S~WfC~s: ' ~ :::~ : : >-;~ '~;::: :~:'"~:::~'!~ ':~:~:~ ~:
Ost~osh, WI 54903,1130
Phone (920) 236-5050
Fax (920) 236-5084 DEPARTMENT
HVAC PERMIT APPLICATION
All infonmtion after bold categories must be provided.
Igcomplete appticatio~ 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
!f you are a contractor participating in the Permit fee Account System and have adequate funds, check here
i_f ¥ou want this processed through your account F~
CI'~,CK F,,'[ AI,L APPLICABLE
USE CATEGORY
~[Single Family 1ZlDuplex
lZtMutti-Family
l-lRental F1Commercial F-1Industriat
FUEL ~as []Electric []Solid
F1Oil FtSolar
TYPE
[gl;Forced Air IZIRadiant F1Steam [gA/C []Vent
SYSTEM I-1New I~Replace
[] Other
IZIElectric IZlHot Water •Suppl. l-ICon. Burner
IS CHIMNEY BEING LINED lX3No [5lYes - LINER SIZE
Note: All cl~axmeys shall be s/zed per the BTU's being vented.
CltlM2XlEY TYPE •Chimney A I-1Chimney B
HEAT LOSS []As Approved F1Existing
BTU RATE F-lAs Per Plan F1Variable
& MANUFACTURER ·
EtDirect Vent
IDNot Applicable
IDOther Value
[]Other
DESCRIPTION OF ALL WORK BEING DONE
VAL~ (Inch, ding labor ann all materials including light fixtures) $ q I 0¢ ~
. .; D For applicable projects, an Electric 5xstallation Verification form, si~aed by the Electrical Conh'aCtor. must be
. ' a~Ch~d~ If not at~ached or not applicable, a separate Electrical permit is required.
9/o2
,%1~15, 2',~]~ 2;; ~ii. 5';['/317255 I~EIEZ ELECTRIC -~-.'~_ ,3.1
Electric installation. VerifiCation
ECEIVED
APR 1 Z 2003
D£PARTUENT OF'
CO~IJJ~ITY DE¥£LOPUENT
LI) ,, %) ~:!,eez Electric,~
at the ~llo~Ang s~lres.~" I 152 N We,tt%.la gtr~
Thc nature oftha work consists of' (Check One or Describe the Natare of Work)
Keconnection or new circuk for replacement Heating Plant and'or A/C Condenser,
~-~onnecCioa or new cimuit for r~placement Electric Water Heater.
R~ connection of the Service Errtrance Cable, Meter Box, alterations to recur :l~-
lighting fixtures due to siding / soffit installation. Note: 2~ ~,~ P'-~ :u E, r a~ ~hles
wilt require a separate perry"
Reconnection or new ,-;-2~ "%] ~' .e. p' ;. m ~utl; 'tad rr~dm,ces ' fixtures.
The value of this work is $1,50....00
I hereby verify this work will be perforated by an employee oftNs compm-~- and further redly the
re~onnection / inztallation will be done in compliance vdth manufacture and Eleafic code
requirements.
~ary_ B_iesin_g~r 04/i 6/03
(Sigmtur~ of Company' Officer)