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Home My WebLink About0103962 HOSHKOSH ON THE WATER Job Address 1080 N WESTFiELD ST Contractor MARX MECHANICAL Fuel [] Gas ~ System [] New J~J Forced Air I [~- Electdc I CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Radiant Owner EVERGREEN RETIREMENT COMM INC Category 500 - Residential-Heating & Ventilating [] Electdc [] Replace L-J steam [~ suppl. water [] Solar LI NC J~Con. Burner ChimneyType ~ ChimneyA Heat Loss k,) As Approved BTU Rate ~.) As Per Plan Use/Nature ~212/Replace furnace, 75m of Work ~..~ Chimney B ~.~ Existing ( ~ Variable () Direct Vent O Not Applicable J O Not Applicable J Value ~ Other I Value No 103962 Create Date 09/05/2003 Plan ~' So]id Other Vent 0 btu input. *EiV form from Beez Electric. Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $47.00 Issued By: Date 09/05/2003 [] Permit Voided J In the per[ormance of this work, I agree to perform ali work pursuant to rules goveming the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a pady, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contac~ the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date AgentJOwner Address 4535STATE ROAD91 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 o£ Inspection Services P.O. Box 1130 Osltosh, Wt 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~ ~ ~' ~0~, ~ HVAC PERMIT AP~C~ Incomplete applicatimm will not be proc~¢s~aU~YELOp~E~T Application(s) and fcc(s) c~ b~ brousht to C~ty ~al], Icom 205 or mailed to ~sp~ction S¢~Jces, PO Box ] 128, Os~osh WI 54903-1 ] 28. Commencin~ work w~thout pe~it(s) will r~sult m fees b~¢~ doubled or $] 00.00 plus th~ normal pe~it fee, which ever is ~eater. OR I¢vou are a contractor par~icipatin~ in the Permit [ce ~ccount Spstem and have adequate [u~dx, check her( i[you want thix procexsed through ~Jour account ~ JOB Dm;SSt4 tq tC-cO - CONTRACTOR-^~.,-- H~C~'~ ~v~-~'~-~,,~(_,CuL- CHECK ~EI ALL APPLICABLE USE CATEGORY ~Single Family IZlDnplex IZlMulti-Famity IZIRental E] CommerciaI Flindustriai FUEL ~Gas E3Electric [qSolid SYSTEM E]New ~E~Replace ~OiI [] Solar ClOther TYPE ~bForced Air [3Radiant ElSteam FqA/C E]Vent E]Electfic IS CHIMNEY BEING LINED E]No I~l~fes - LINER SIZE Note: Ail chinmeys shall be sized per the BTU's being vented. E]Hot Waker [qSupp]. ~Con. Burner a MANUFACTUP,~R. ~[.~C CIIJAVIN]EY TYPE HEAT LOSS BTU RATE E]Chimney A E]As Approved fqAs Per Plan E3Chi~TmeyB EIExisting ElVariable F1Direct Vent I'qNot Applicable E]Other Value E]Other DESCmeTION ALL WOa cCxtk VALUE (Including labor and all materials including light fixtures) $ C~ 00 ¢ ELECTRICAL CONTRACTOR [] For applicable projects, an Electric Installation VeriScation £orm, siga~ed by the Electrical Contractor, must be attached. If not a~Aached or not applicable, a separate Electrical Permit is required. ~/o2 · ~ ~9702/~0~ 22:53 9202327255 ~EEZ ELECTRZC P&6E 02 Electric Installation Verification (1) (We) Bee~ Electric, Inc. 521 W. 12th Ofllkosh ~ 54902 have been contracted to perform eld'ti0 imtaltation work for ~arx Mechanic!. at tho followia8 address: 11)80 N W~tfield St. V'flla~e #212. The nature ofthe work consists of: (Check One or D~cl'~e the NaVare of Work) [] Raeonn~,tiou or new eimuit fer r~plaeement H~atin$ Plant and/or A/C Cordcnaar. Reeonn~don or new eimuit for r~placement Electric Wa%er Heat~', Recennection of the Sercice Entrance Cable, M~er Box. alterations to recepta¢lea and li81~ing flxUn~s due to siding / soffit installation, Note: New Servi~ Entrance Cables will require · aeparate l~mrfit, [] lt~otmecfion or n~t circuit for other permanently wired appliances / fvaurcs, [] Otl~r The value of this work is St 50.Q.0. I h~r~by verify this work will be performed by an ~aploy~e of this company and furthor varify the r~ortn~tion ! installat/on will be done in compliance wit~ manufacturer and El~tric code requiremems, (Signature of Company Officer) .Gary Bie~ine~ 09/0lZ0.3.