HomeMy WebLinkAbout0113220-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113220
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1912 OLIVE ST
Owner
MELISSA J FELBERG
Create Date 03/30/2005
Contractor MCM AIR INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
l..j A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
60000 / 1 .5T
Use/Nature SFR/ Replace furnace and A/C, install 3" chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$5,100.00
Plan Approval
$0.00
Permit Fee Paid
$81.50
Issued By:
Date 03/30/2005
U Permit Voided 1
Parcelld # 1216090000
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
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780
Telephone Number
920-582-4402
---
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.
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. Electric Installation Verification
l(We)~~ ez..ec.~I' Go. INc.
. (E1ecIrica1 Contrador N amo )
s~fJ)ù r:rNev PUJ~~~~ ~t>. £JIN~~~~tJe:(~~~ti~~
b&ve been colUractcd to porfonn electric inltallatioll wœk for ~.
(Name otpa:ny con1ncted to)
at tho following ad~": J.î\ Â- . () \ ~ 'J <:.-
(~ whcro work will be perfozmed)
The nature of tho workconsiJta of: (ÇbeckOneorDelcribetheNatIue of Work)
- Reoozmeot!on or new clrccit tor replacement Heatin¡ Plmt antJIor AlC Ccndcnaer.
- Rcconneot!on or new circuit tor replaeemellt Electric Water Heater or power vented
" water beater.
- Roccnmcction of the Sc:rvic:c Eutraœo C&b1c. Motor Box, altemiona to roceptacla
and lighting fíxturcI due to IÎdÚ1¡ IlO1!it ÙIJt.IJ.tlon. Note: Now Sc:rvic:c
EntraIu:e Cables will rcquhe a aepawo pcmùt.
- Roconuodion or now clrçuit for tho rqt1accncnt of other permanently wired
appliances I fixtUrOS. .
-X. Now circuit for tho addition of AIC to an ütdilllduiIJ dwIIl/ls¡' IDIÚ (house or \he
indivið1.W 1)'It0lIlS in a c\u¡>lex or ecc4ominium), inc1w1ing required seMce
electrical outlets. .
- Other
Tho value ofthi, wOIk iI sJ f)o. 0 0
I hereby verify thiJ work will, be podonn~ by an employee ofthls c:amp.any and tI.Irtber verify
tho teÇO :1QCtÌon I inlta1latiOIl will be done in comp1ianco with manu.~ cd Electric co4e
nlQu¡rcmcma. "
J¡ ~~ f1{J.¡
(Si¡nan¡rolof Company Officer)
J>//r1Ju~. 5el):.JJ¿
(Print Name of Officer)
$-¿3-ð5
(Date)
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