HomeMy WebLinkAbout0102558 HOSHKOSH
ON THE WATER
.lob Address 1339 LIBERTY 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 MICHAEL H REICHENBERGER
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
102558
07/01/2003
Other
Vent J
Use/Nature SFR/Replace the furnace and add central A/C, 2.5 ton. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$72.50
Date 07/01/2003
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 Oskkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERM IT
All infom~ation after bold categories must be provide~ T
tucomplete applicatiora will not be processed.
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) w/Il result in fees being doubled or $I 00.00 plus the
normal pen:ait fee, which ever is greater.
OR
Y_f vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed ~hrough your account
JOB Am)m ss
CONTRACTOR
DATE
CI:[ECK ~I ALL APPLICABLE
USE CATEGORY
~i'mgle Fmnily []Duplex FqMulti-Family
F1Rental
[] Commercial
1Zlindustrial
FUEL Ii'as l~Electric I~Solid SYSTEM
IDOil IZlSolm-
l~iNew ~Replace
ElOther
TYPE
)UForced Air DRadimit FlSteam ~A/C I-1Vent l~Electfic
IS Cttl2YINEY BEING LINED I-].No [gYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
EIHot Water FlSuppl. DCon. Burner
a MANUFACTURER ~LL:~- {-
CItlMNEY TYPE E]Chinmey A ElChimney B F1Direct Vent IDOthcr
HEAT LOSS IE]As Approved DExisting IDNot Applicable
BTU 1LkTE L1As Per Plan FDVmdable E3Other Value
DESCRIPTION 01* ALL WORK BEING
VALUE (Including labor and all n,~aterials including light nxtur~s) $ q~O ~
ELECTRICAL CONTRACTOR El~ec~.7~'"'~
[] For applicable projects, an stallation Verification f'o~a]-~, signed by the Elect:ileal
attached. If not at'~ached or not applicable, a sepm-ate Electrical Permit is required.
Contrsctor, must be
~/02
06/29/2003 22: 5Z 9202317255 BEEZ ELECTRIC
Electric Installation Verification
(I) (We) ~'e~61ectfic, Iac,
~ Oshk.q~ W'Z 549O2
have been contracted to perform electric installation work for Marx Mechanical~
at the following addrms: 1339 Liberty Street.
Tb~ nature oltthe work consists of': (Check One or Describe the Nature of'Work)
[] Reconnection or new circuit for replacement Heating Plant end/or A/C Condenser,
[] Reconv-ectlon or new cir~it for replacement I~lecuic Water Heater.
[] Reconnection of the Service £ntranee Cable, Meter Box, alterations to receptacles and
lighting Fixtures due to siding / soffit installation. Note: New Service Entrance Cables
· a411 require a separate pemit,
[] lt. econn~,-tion ~r new circuit tot other perma~ently wired appliances / fixtures,
The value of this work is $150.00
! hereby verif7 this work will be performed by an employee cf this company and further veri~ the
reconnection / installation will be done in compliance with manufacturer and Electric cede
requirement 8.
(Signature of Company Officer)
Os~v Biesinp.~ 96/30/03