HomeMy WebLinkAbout0101271-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1927 DOTY ST
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 JOHN K MRAZ
Category 501 - Residential-Air Conditioning
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
101271
05/05/2003
Other
Vent J
Use/Nature SFR/Install 2.5T a/c unit. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$29.00
Date 05/05/2003
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 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
If you are a contractor participating in the Permit _fee Account System and have adequate funds, check here
if you want this processed through your account
O.A. ss Ifl fl %T-,
M
C~CK ~ ~L ~PLICABL~
DATE
MAY 0 5 2005
DEPARTMENT OF
OO~,~UNIT¥ DEVELOPMENT
USE CATEGORY
~ingle Farrdly
F1Duple.x
i'-IMulti-Family '
•Rental
Dcommerciai
Oindustfiai
FUEL ' '~Gas F1Electric []Solid SYSTEM
mOil ElSolar
]~lNew
•Other
r-lReplace
TYPE
I'-IForced Air •Radiant •Steam ~./C •Vent •Electric
IS CHIMNEY BEING LINED ~No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
•Hot Water nSuppl.
& MANUFACTURER
[]Con. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
[]Chimney B []Direct Vent •Other
EIExisting •Not Applicable
EIVariable l-IOther Value
DESCRIPTION OF ALL WORK BEING DONE
/qs fl- OSO.
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR ~'~---
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
BEEZ ELECTRIC
PAGE
Electric Installation Verification
(I) (We) _B~zElecrric. Inc,
521 W. 12th Oshkosh WI 54902
have been contricted to perform electric installation work for Marx Mechariical,
at the following address: l~27 DOry Street.
The nature of the work co~si~ts of' (Check One or Describe ~he Nature'vfWork)
Reoonneotion or new circuit for replacement Heating Plant and/or A/C Condenser.
Re~onnection or new circuit for replacement Electric Water Hee, ter.
R¢connection of the Service Entrance Cable, Me~er Box, alterations to receptacles and
lighting fixtures du~ to siding / soffit inst~llation. Note: New Service Entrance Cables
will require a s~arate permit,
Revonnection or new circuit for aher perraanently wired appliances / fixtures.
Other
.The value of this work is $~
I hereby verify this work will be performed by an employee of this company and ffu-~h~ yetiS, the
recorme~tio~ / installation will be done in compliance with manufacturor and Electric code
requirements.
Gars,, Biesinger 05/02/03
(Signatur~ of Company Officer)