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Home My WebLink About0105048-HVAC (furnace & a/c)OSHKOSH ON THE WATER .lob Address 1112 N WESTFIELD ST Contractor MARX MECHANICAL Fuel System Gas J ~J Oil CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Owner EVERGREEN MANOR INC Category 501 - Residential-Air Conditioning L~ Electric New ] ~] Replace ] Forced Air ] ~ Radiant Electric I ~J Hot Water L~ 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 105048 10/30/2003 Other ] Vent Use/Nature SFR/Replace the furnace & 2 ton A/C. *EIV form from Beez Electric. of Work Fees: Valuation Issued By: $4,500.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $72.50 Date 10/30/2003 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. City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903- l 130 Phone (920) 236-5050 Fax (920) 236-5094 RECE VE OCT 3 0 oo iHKO/H HVAC PERMIT APPLICAT~T~r~rr ~r A1 infor ration after bold Categories ~Dro~ de~. , :~': Incomplete apphcatm~ wg not be processeE ' ~' ~ :'~.C~ 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. Cormnencing work without permit(s) will result h~ fees being doubled or $100.00 p]us the normal pemxJt fee, wtSch ever Js g~eater. OR Fou are a confracfor par~icipatin~ in the Permit fee Accoun~ System and have adequate funds, check here ~f vou wan~ this processed ihrou~h your account ~ CH ~:CK [] ALL APPLICABLE USE CATEGORY l~ Single Family rqDuplex ~Mulfi-Fmnily [:]Rental [] Cormnercial D Lndustr/aI FUEL [~Gas []Electric ~Solid SYSTEM ID©il E3Solar []New i~Replace [] Otb er ........ TYPE ~Forced Air ~Radiant L3Steam ~A/C DVent [:]Electric ~Hot Water ~Suppl. [qCon. Burner IS CIt~NI{Y BEING LINED l~No E~Yes - LI2'~ER SIZE }4ore: All chhnneys shall be sized per the BTU's being ve;~ted. & M/~!UFACTUIhER ........... CI~I'/INEY TI~E IDChimney A ~Chinmey B fflDirect Vent ElOtber ttEAT LOSS IDAs Approved []Existing [21 Not Applicable BTU RATE []As Per Plan IDVariahle E3Other Value ELECTRICAL CONTRACTOR E3 For applicable pro~ecls, an Electric Installation VeriScafion form, si~oed by the Elecl~ical Conlractor, must be attached. I£net at~_ached or not applicable, a separate Elects-leal Permit is required. ~/o2 ~0/28/2003 22:43 92023~7255 8EEZ ELECTRZC P&~ 82 I~iectric Installation Verification (I) (We) ~_eez Elearic c..Ina_~-, ~2__! W.2 ?.th oshkosh have been centracted :o perform electric installation work for ~ Mech~lic__~, at the ~11o~ address: 1112 NWe~' The naVare of the work covzists of: (Check One or Describe the NaVare of W°rk) Reconncction ox n~ &~t t~ ~la~m~t He~g Plmt ~or MC R~tion or new cir~t for ~p~cment El~c W~t~ H~ter- ~ghting ~ due to sid~ / soffit i~talhtion, $~ce E~oe C~les ~o~on of ~e S~ce ,~ Cabl, Met~::ati°ns t° recept'~les an~ will require a sep~ate p~. R~ or new ~t~tt I0~ o~n~ p ~r The value of this work is $150,00 I hereby verify this work Mill be performed by an employ~ of this company ~nd further verify the r¢conncCtion / installation will be done in compliance with manufacturer sad Electric code requirements, ?~~4a~/a~~ G~ Biesinger (Signature of Coml~my Officer)