HomeMy WebLinkAbout0101882 HOSHKOSH
ON THE WATER
.lob Address 667 N MAIN 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 BETTY JEAN FINK ETAL
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
101882
05/30/2003
Other
Vent J
Use/Nature COMM/Replace rooftop HVAC unit with Lennox GCS16-060-120-4P unit. *EIV form from Hoehne Electric.
of Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$80.00
Date 06/02/2003
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
Division of Inspection Services
P.O. Box 1130 ....
Oskkoshl Wl 54903'[ 1] 30
Phone (920) 236-5050
FaX (9"20) 236-5084 -~
RECEIVED
MAY 5 0 200J
DEPARTMENT OF
HVAC P E Rfi~ ~[~T~ ~~ENT
Alt information after bold categories must be provided.
incomplete applications will not be prgcessed.
ON THF WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or ma/led to Inspect/on Services, PO Box t t28~
Ost~osh WI 54903-1128. Conmaencing work w/thou/permit(s) will result m fees being doubled or $100.00 plus the
no~al pe~t fee, which ever is ~eater.
]f you are a co;,tractor participatin~ in the Permit fee Accou;~t Syslem a;,d have adequate funds, check here
if FOU WallI this processed Ihrough Four account ~
CONTRACTOR
CHECK [~/~LI. A]BPLICABLE '
USE CATEGORY
t--ISingle Fmnily lDDUpleX ' l-tMutti-Family l-IRental
~Commercial
Ullndustfial
FUEL ~GaS FqElectfic E]Sotid SYSTEM F1New ]~Reptace
lDOil U]Sotar l-lOther
TYPE
IDForced Air l-lRadim~t E]Steam I~IA/C ~Vent ~Electfic E]Hot Water ~Suppt. [~Con. Burner
IS CItlMN~EY BEING LlhrgD DNo IDYes - LINER SIZE
Note: All clfinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CItJ=M2hrJEY
I{EAT LOSS
BTU RATE
~Chinmey A
t-lAs Approved
~As Per Plan
El Chin~ey B
I-]Existing
IDVariable
[--1Direct Vent
I-tNot Applicable
t-qOther Value
iZlOther
DESCRIPTION OF ALL WORI{ BEING DONE
~A~uE (in~[u3i,;g labor and all materials including light fixtures) $ ~000_ ,0) . .
~ For applicable prdects, an Electric Installation Veribcafion lorn% s/~xed by t]~e Elcctzica] C'ontractor, must be
attached. If not attached or n~t app]icab]% a separate E]ecSica] Pm'mit is mqufl'ed.
s/o2
Electric Installation Verification
(Electrical Contractor Name)
(City) (
have been contracted to perfonm electric installation work for
at the foltcwing &ddress: 667 N Maim St
Thc nature of th~ work consists of:
(Zip Code)
Crosby Dance Studio
(Name of party contacted to)
(Ad.ess where work wil] be p~ffoxm~)
(Check One or D oscribe the Nature of Work)
RecoImection or new circuit for rvpheeraent Heat~g Plant ~Wor MC Condenser,
Re~mn~tion or new circuit for r~lzcem~t Elec~c Water Heater or power vmtcfl
wat~
Reco~tion oflhe Se~icc Entrance Cable, Memr Box, aheralions to receptacles
~d lighting fixtures duc lo siding / soffit hmtallaSen. Note: New Service
Entrance Cables will require a sep~ate pemit.
Reeonneeti on or new eirc~t for the replaemem ofmhez pemanently wired
applimces / fixtures.
Ne~ circui! for ~e a~ition cftc lo ~ inaiviguaI dwelling unit (h~use
individual s~tems in a duplex or condami~im), including required
el~eml outlets.
Other
The value oflhis work is
I hereby verify this work will be pcrfbrmod by an employee of this company and f~rthcr verify
zhc reconnecti~n t inaallation will be done in eompliance with m,mufae~u:'er m..I Electric code
req uir em cn ts,
- (~;~a u, ~ o~ Co~.pany Officer)
(Print Name of Offic~r)