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Home My WebLink About093751 - HVAC (Replace furnace and AC) (3 A CITY OF OSHKOSH No 93751 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1620 MOUNT VERNON ST Owner RICHARD A MALCHOW JR Create Date 04/22/2002 Contractor MARX MECHANICAL LLC Category 502-Residential-Both Plan Fuel 11 Gas I Oil Electric 1 Solar I Solid j System U New _I 0 Replace E Other 4 Forced Air _I Radiant j Steam ✓j A/C __ Vent Electric Hot Water I I Suppl. Con.Burner Chimney Type Q Chimney A Q Chimney B Q Direct Vent • Not Applicable Heat Loss Q As Approved • Existing 0 Not Applicable Value 0 BTU Rate 0 As Per Plan Q Variable • Other Value Use/Nature SFR/Replace furnace and add central a/c. *EIV form from Beez Electric for the replacement furnace. A separate electrical permit is of Work needed for the new a/c. Fees: Valuation $3,900.00 Plan Approval $0.00 Permit Fee Paid $63.50 Issued By: __VY ' Date 04/22/2002 Q 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 215 Church Avenue F.O. Box 1130 OJHKOJH Fax 2360508430 ON 11-1(WMIk Phone (920) 236-5048 HVAC PERMIT APPLICATION All fields/information after bold categories must be provided. Incomplete applications will not be processed. M , DATE Li"I� JOB ADDRESS ((a a..0 O ' `T- V O 01 l 1 Sr OWNER P,,'c-.D M )1--O CONTRACTOR _\ y, RE-rt C.P U I J c CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL FUEL G25 OIL ELECTRIC SOLAR SOLID SYSTEM NEW REPLAC OTHER TYPE ORCED AIR RADIANT STEAM A/C VENT ELECTRIC HOT WATER SUPPL. CON. BURNER IS CHIMNEY BEING LINED IES LINER SIZE r MANUFACTURER FLPA L Note: All chimneys shall be sized per the BTU'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: pz-pwE lIE r'U{� P1O COJVPrL Mc, VALUE (Including labor and materials) $ L �OD ELECTRICAb, CO.ffRACTOR eL -c -tC_. Electrical installation of new/replacement equipment shall be done by licensed contractors. Valuation Fees $0 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 application. Failure to pay within 30 days will result in fees being doubled or $100 . 00 plus the normal permit fee, which ever is greater. 04/18/204.12 01' : 58 920'7317'755 B,EEZ ELECTRIC PAGE 01 City of Oshkosh Division of.inepeeticn Services 41 /1P 215 Church Avmue PO Box 11.0 Oshkosh WI 54p03•1130 CE --i Q;ioe 920.236,5050 vro r FRX. 920.236.5081 Electric Installation. Verification (I) (We) Beez Electric, Inc. 521 W. 12th, Oshkosh VII 54902 have been contracted to perform electric installation work for MARX MECHANICALLLC, at the following address: 1620 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. Lf Reconnection or new circuit for replacement Electric Water Heater. n 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. 7 Reconnection or new circuit for other permanently wired appliances/fixtures. I I Other The value of this work is $200.00 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 manufacturer and Electric code quirements. U ` G Biesinger 04/18/02 (Si_ature o .41.t party Officer) II V K City of Oshkosh G � Division of Inspection Services - 1 215 Church Avenue PO Box 1130 By Oshkosh WI 54903-1130 Lang_ w Date: 0/-IKOIH Office 920-236-5050 ON THE WAT:., Fax 920-236-5084 Electric Installation Verification (I) (We) Beez Electric, Inc. 521 W. 12th Oshkosh WI 54902 have been contracted to perform electric installativri. r , _, a 6.,01 CHANICAL. LLC,V, at the following address-,..,_ .' _. . z, , :.'_,P.:r : - '. OCT 0 1 2002 DERWEI The nature of the work consists of: (Check On ' M - re of Work) PMENT" ® Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. I I Reconnection or new circuit for replacement Electric Water Heater. I 1 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. TI Reconnection or new circuit for other permanently wired appliances / fixtures. I I Other The value of this work is $200.00 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 manufacturer and Electric code 1equirements. . I I Gary Biesinger 04/18/02 (Si, ature o If pany Officer) COPY