HomeMy WebLinkAbout2003-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 926 N MAIN ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner MARIANTONELLA WARFIELD
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
104727
10/10/2003
Other ]
Vent
Use/Nature SFR/Replace boiler system. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$95.00
Date 10/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number
(920) 235-6510
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Division 0f in~pecfi0n S~rVice~ ' '~
P.O. Box 1130
Osl~0sh; Wi 5q905:1130
Phone (920) 236-5050
Fax (920)236-5084
HVAC PERMIT
lnconDlete appticatio~ will not be rocessed
Application(s) and fee(s) can be brought to Cit7 Hall, Room 205 or mailed to ~spection Services, PO Box 1128,
Ost~osh WI 54903-t 128. Commencing work without penNt(s) will resntt in fees being douNed or $100.00 plus the
nonnat pem6t fee, wlfich eye, is ~eaer
Jflvou are a contractor pariicil~al~ng h2 the Permi~fiee Account Sl~stem a,d have adequate ~u,ds. check here
~you wan~ Zhi,r procexsed through your account/ ~
JOBa m SS q0-¢ t4 55-,
C][[ECK [] ALL APPLICABLE
USE CATEGORy
'~Single Fmnily [2Duplex
rqMutti-Fmuily rqRental
[3 Conunercial
I2IndustfiaI
FU'EL [Xl. Gas IZ1Electric E]Solid SYSTEM
fi]Oil fi]Solar
TYPE
fi]Forced Air ~Radiant ~team ~A/C fi]Vent ~JElechic
IS CIlIMNEy BEING LINED ~No KJYes - LI2xTER SIZE
Note: All chimneys shalI be sized per the B1. U's being vented.
ClfllvlNEY T~tqPE
!{EAT LOSS
BTU RATE
12Chimney A
~As Approved
IZ1As Per Plan
~ Chinmey B
U1Vmiable
E/New ~ eplaee
~OtNer _
12Hol Water IDSuppl. [2Con. Burner
& MANIJFACTU1UCR
CtDirect Vent
12Not Applicable
12Other Value
~Olher
.... q0O,00o ix_i tO txT- HO ()AO
VALUE (lncludfiig labor and all materials including lig ,t fixtures) $
ELECTRICAL CONTRACTOR ___ ~..'DC'-~
S Fo~ app cable p~ojects, an Elec~ic ~stallation Ven~catlon
' ' ' ' ": " r ~ , sic, ed by the E,ec~-/cal Contractor, must be
at~ched, lfnot at¢ached or not applicable, a separate Elech-ical Pem~it is required.
9/02
Electric Installation Verification
521 W. 12th Oshkosh WI 54902
have been comracted to perform electric installation work for M~x~ Mechanical,
at the fo[lowing address: 926 N Main
The nature of the work eonsists of: (Cheek One or Describe the Natur~ of Work)
[] Reconncction or new circuit for replacement He. ting Plant and/or A/C Condenser,
[] Reconueetion or new circuit for replacement Electric Water Heater.
[] Recora~ecfion 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 pexmit.
[] Rezonne~on or new circuit for other permanently wired appliances ! fixtures.
[] Oth
value of tiff~ work is $! 50.00
I hereby verify tiffs work ~ be performed by an employee of tiffs company and further v~rify
reconneeficm / installation will be done in complianc~ with manufacturer and Electric code
requir~nents;
GatwBiesineer lO/Og/O~
($igaature of Comply O/fleer)