HomeMy WebLinkAbout094611 - HVAC (new AC) (3 CITY OF OSHKOSH No 94611
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1602 MOUNT VERNON ST Owner RONALD A/MARJOR BURDICK Create Date 05/23/2002
Contractor MARX MECHANICAL LLC Category 501 -Residential-Air Conditioning Plan
Fuel 1 Gas Oil ✓ Electric Solar Solid
System I3New ❑ Replace ❑ Other
U Forced Air _f Radiant _J Steam a A/C _j Vent
I Electric Hot Water Suppl. Con. Burner
Chimney Type D Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss ❑ As Approved O Existing • Not Applicable Value 0
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature SFR/Add new central a/c.
of Work
Fees: Valuation $1,400.00 Plan Approval $0.00 Permit Fee Paid $26.00
Issued By: '& .r\ Date 05/23/2002
❑ 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
Division of Inspection Services CA-1E-
.Yl 1E- .v°
215 Church Avenue
P.O. Box 1130
Li Q J Y< .1 Fax k#s(920) 236-508439
ON 11,i WAl1R
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 6—o26) —(4.,
JOB ADDRESS %(oO - MT v C1.WOi.1 ST
OWNER gV NJPrLU
CONTRACTOR HM-X 146 - P J1 C- L 'NC
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS CC OIL ��\ ( ELECTRI SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C ) VENT
ELECTRIC ' HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED L)b LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the ETU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK: ^ Cei„ f t Oip .Tipri(NC.r
VALUE (Including labor and materials) $ IL 00
•
ELECTRICAL COi T A C OR
Electrical installation of new/ placement equipment shall be done by licensed
contractors .
Valuation Fees
$o to $1, 000 . 00 $20 .00
$1, 000 . 01 to $10, 000 . 00 $20 . 00 for first
$1, 000 .00 plus $1 .50 per $100 .00 valuation or part thereof
$10, 000 . 01 to $25, 000 . 00 $155 . 00 for first
$10, 000 . 00 plus $1.00 per $100 . 00 valuation or part thereof
Over $25, 000 . 00 $305 . 00 plus $0 . 50
per $100 .00 valuation or part thereof
• Submit payment with applicatimn_ Failure to pay within 30 days will result in
fees being couhled or :,:l00 . 00 plus the normal permit fee, which ever is
greater.
/19/2222: 39 9262317255 BEE? ELECTRIC PAGE 02
•
City or Oshkosh
DlviSien of Tnvpection Services
404 215 Church Avenue
PO Bog 1130 ^^ t
Oehkexh 5x903-1130 1"
Oftlek 920-0-Z35.SOSQ
Fax 920-236-5054
gLTL`
Electric Installation Verification
(I) (We) Beez Electric, Inc.
521 W. 12th Oshkosh WI 54902
have been contracted to perform electric installation work for MARX MECHANICAL, INC..,
at the following address: 1602 Mt. Vernon Street .
The nature of the work consists of: (Check One or Describe the Nature of Work)
® Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
n 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.
I I Other
The value of this work is $150.00
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 manufacurer and Electric code
requirements.
Gary Biesing_er 05/20/02
(Signature of Company Officer)