HomeMy WebLinkAbout0102529-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1632 KENTUCKY ST
Contractor MARX MECHANICAL
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 PAUL M/MEIHONG BLOECHL
Category 501 - Residential-Air Conditioning
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
102529
06/30/2003
Other J
J k~J Vent J
J
Use/Nature SFR/Install 2 ton A/C unit. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,400.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 06/30/2003
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 =: ~'
Oslzkosh, WI 5490321130
Phone (920)236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION DEVELOPMENT
All inforn~tion after bold categories must be provided.
Incomplete applicafiom will not be processed.
Appl/cafion(s) and fee(s) can be brought to City Hall, Room 205 or mailed to h, spection Services, PO Box 1 t 28,
Oshkosh WI 54903-1128. Cmrnnencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, wh/ch ever is greater.-.
OR
/f 3~ou are a contractor participating in the ?ermit fee Account S3~stem and have adequate f~nds, check her~
if you want this processed H~rou~h your account [-~
CONTRACTOR
CHECK ~ ,%LL A]PPLICABLE
USE CATEGORY
I~ingle Family I-']Duplex
l-tMulti-Family
IZlRentat IZlCormnercial l-llndustrial
FUEL l--1Gas ti;~lectric F1Solid
IDOil l-lSolar
TYPE
tZtForced Air F-1Radim~t l-tSteam I-1A/C
SYSTEM
t~New tZIReplace
IZtOther
~l_Vent []Electric FtHot Water []Suppl. []Con. Burner
IS CI3[I2~INEY BEING LINED [BNo IZtYes - L1-NER SIZE
Note: Alt ckimneys shall be s/zed per the BTU's being vented.
& MANUFACTURER
CIzlI3INEY TIqPE lEtChinmey A IZlChinmey B
IzlJgAT LOSS ...... ~ EJAS A]~r69~d'~ ....IZIExiSting
BTU RATE EtAs Per Plan tZ]Variable
IZlDirect Vent
E]Not Applicable
IZlOth. er Value
IDOther
DESCRIPTION OF ALL WORK BEING DOiNrE
U'F~{:applicabie }>¢'3jecls, an Electric Jnstallation VeriEcation form, sigmed by the E]eclx-ical'-C:cmtraCi.o~', must be
aeaClSed, l'f not attached or not applicable, a separate Elect~ ical Permit is required.
~/o2
Electric Installation Verification
(I) (We) Be.e.Z..Eleztfic,
521 W. 12th Oshkosh WI 54902
have been contracted to perform electric instaltatioa work for Marx M.e.¢hanical,
at the followSng address: 163_tT, X._KentuCk-y.
Tl~e natura of the work consists of: (Check One- or Describe the Nature of Work)
lt, econnection or new tire,tit for replacement Heating Plar~ and/or A/C Condenser.
l~,eeonnecIion or new dr~it for replacement Electric Water Heater.
Reconn,vtion of the Service Entrance Cable, Meter Box,. altera, ions ~o receptaclez and
lighting fi-Cares duc !o siding / soffit installation. Note: New Service Entrance Cables
will require a .~ep.qrate permit,
Reeormoctiort or new circuit for other permanently wired applianees / fixture~.
Other
The value of this work is $150.0_,_.__0_0
I hereby ~crif~ this work v~5tt be performed by an employee of this comply and ~h~ ~vefify the
r~o~ection I i~ta~ation x~l be dyne in
r~u[remmt~, compli~¢c ~ ma.nufa~ and Ete~fic code
(Sigmmre ~Comp~y Offi~ )