HomeMy WebLinkAbout0101358 HOSHKOSH
ON THE WATER
.lob Address 1517 TAFT AVE
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 WILLIAM P BLACKWELL
Category 502- Residential-Both
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
101358
05/08/2003
Other J
Vent J
Use/Nature SFR/Replace 75m btu furnace and 2 ton a/c. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 05/08/2003
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 Servi6es
P.O. Box 1 t30
Ost~osh, WI 54903-t 130
Phone (920) 236-5050
Fax (920) 236-5084
MAY 0 8 200,3
Ap,,,,, ._....._. i EV .
HVAC PERMIT
All infonmtion after bold categories must be provided.
incomplete applicatim~ will not be processed.
Application(s) and fee(s) cml be brought to City Hall, Room 205 or mailed to laspection Services, PO Box 1128,
Oshkosh WI 54903-1 t28. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the
no~al permit fee, w~ch ever is ~eater.
OR
you are a contractor parHcipating in the Permi~ ~ee ~ccount System and have ~de~ua~e /undx, check here
if you want ~his processed lhrough Four account ~
DATE ~' q~5
¢Otc-bL_
CONTRACTOR
CHECK I~ AI J, APPLICABLE
USE CATEGORY
t~S~ingle Fmnily 1•Duplex
[2tMutti-Famity
IDRental 1-tCornmercial
FUEL [E]~a.s mElectric [:]Solid SYSTEM ZlNew
IDOil ElSolar [2tOther
TYPE
[i~orced Air FqRadimxt l-ISteam Eff~C F-1Vent lDElectric
IS CBIMNEY BEING IA1NqCD [2]No ElVes - L~TER SIZE
Note: Alt clfimneys shall be sized per the BTU's being vented.
l-IHot Water []Suppl.
& MANUFACTUR_ER
l-ll_ndusthal
[Et~eplace
.f
l-ICon. Burner
Fbe -L
CItI1VINEY TYPE t-tChimney A I-1Chimney B FIDirect Vent •Other
HEAT LOSS I-lAs ApprOved F-1Existing F1Not Applicable
BTU RATE [2]As Per Plan FtVariable F1Other Value
DESCmI'TION 017 ALL WORK :BEING DONE ~tC~q0L~kX~ [kJ[Utt¢~lhq~Ol',]
'VALU-E (Including labor and all materials including light fixtures) $
lgLtgCTR!CA.L coNTItACTOR ..... ~
L] For appli, cable projects, an Electric hastatlation VeriScation t&-m, sigmed by the F. lec~rical Cc;nh'actor, must be
atIached. ~.['not attached or not applicable, a separate Electrical Permit is requh'ed.
9/o2
..... 05/06/2003 22:1~ 9202317255 BS]~Z ELECTRIC PACq5 01
Electric Installation Verification
(I) (We) Beez Electric, Inc.
521 W. [2th Q.shkoga WI 54902
have been contracted to perform electric installation work for ~ _MECH.a3qlCAL, INC.,
at thc following address: 1517 Taf~ Avenue,.
The nature of the work cor~sists of; (Check One or Describe the Nature of Work)
Reconnection or new circuit for rephcement Heati~ Plant and/or A/C Condcnaser.
P, econneetion or new circuit for replacement Electric Water Heater.
P,,eco~e~lon of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to sidintt / soffit installation. Note: New Service Entrance Cabl~s
will require a s~paxate permit.
Reconn~tion or new circuit for other permanently wired appliances / itxtures,
Other
The value of this work is $~
I hereby verify this work will be performed by an employee of this company ~nd further verify tiao
re¢onnectian / installa~cion will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)