HomeMy WebLinkAbout0105613-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1120 LOCUST ST
Contractor MARX MECHANICAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner THOMAS J KNEEPKENS
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B ~) Direct Vent O Not Applicable I
~) Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105613
12/05/2003
Other
Vent J
Use/Nature SFR/Replace furnace and 2.5T A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$50.00
Date 12/05/2003
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.
Electric Installation Verification
(I) (We) Beez B!.ectric, Inc, _
521W..12th Oshkosh ~___ 54902
have been contracted to perform electric installation work for Marx Mechanical,
at the following address: ~ Street.
The nature of the work consists of: (Check One or Describe the Nature of Work)
[] Keconneefion or new circuit for replacement Heating Plant and/or A/C Condenser.
[] Keconnection or new circuit for replacement Blectri¢ Water Heater.
[] Reconneetion of the Sen, ice Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
[] Reconnection or new circuit for other p~nn~ently wired appliances / fixtures.
[] other
The value of this work is
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation Mil be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Office0
~ B[esin~er 12I~02/03.