HomeMy WebLinkAbout0097366-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 547 MADISON ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
97366
Owner DANIEL J/ELlZA KRITZ
Create Date 09/18/2002
Category 502 - Residential-Both
I J Electric
~ Replace
U Steam
I I Suppl.
Plan
Contractor MCMAIR INC
Fuel 1.....1 Gas I I Oil
System D New I
l!J Forced Air U Radiant
U Electric 1 ~ Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss ( ) As Approved . Existing
BTU Rate () As Per Plan . Variable
I J Solar I Solid
D Other
l!J AlC U Vent
I I Con. Burner
() Direct Vent . Not Applicable
C) Not Applicable
C) Other
Value
o
Value
Use/Nature ISFRI Install 80m btu furnace & 30m btu AlC. *EIV form from Seckar Electric.
of Work
Fees: Valuation
$5,600.00
Plan Approval
$0.00
Permit Fee Paid
$89.00
Issued By: -t<- '(V'\.
Date 09/18/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number (920) 582-4402
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Electric InstallatioD VerifleatioD
t(We) 6f3C,gJ? ae-C.:ctIC CO. jNC;
(Electrical Contractor Narn~)
~20 Cf)ut:DJe-y 'PLU~ ~b 1J}/,J,Je",,J,Je WI o~
(AddreU) (City) (State) (Zip Code)
b&ve been contracted to perform electric installation work for k)lt. ~ {~
(Name ofpany oonttacted to)
at the followiuS address: 5 4- 7 . Mad \ ~ 0 Y\
(Address where work will be porfonncd)
The nature of'the workconsiJts of~ (Caeck One or Describe the Nature of Work)
K Recormtction or new circuit for repl~meDt Heating Plant and/or Ale Condenser.
R.eoouection or new circuit ior replacement Electric Water Heater or power vented
water heater.
R.econncctiou of the 8mi" EDtranoe Cable, Moter Box, alterations to receptacles
IIld lishtins fixturos due to sidina IlOffit inatallation. Note: New Sen'ice
Entnmce Cables will require a aeparate permit.
lteconnection or now circuit for the replacement of other permanently v.'"ired
appJiaDces I fixture.. ..
Now circuit for the addition of Ale to an individual dw,lling unil (house ur the
individual systems in a duplex or condominium), including required service
eleotrical outlets.
Other
The ~alu. Of't.~i5 werk is S 7 s ..0 0
I hereby verify thi$ work will be performed by an employee of this company and further verify
the recol'!!.1OCU011/ installation "in be <!one in compUance with manufacturer L"1d Electric code
requirements.
~~~ I?!~
(SignatUre 0 Company Officer)
~ ~&et~
(Print Name of Officer)
(Date)
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION
All information after bold cateaories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, R~m 205 or mailed to InspcctionScrvices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wilh~$Ult inJces .being doubled or $100.00 plus the
nonna) permit fee, which ever is greater.
OR
J ~:: ~:en~ t~~:~:::~;$~~r:i~~ua:in:o~: t::c::;~if!Jee Ac.co~nt Svstemand have adequate funds. check here
DATE q,.. / (;; - C!JJ.,
JOB ADDRESS 5 tf 7 tV\ct d r ~ 0 Y\
OWNER DaV\ k~~tz.
CONTRACTOR MOMAlftIlC.
6122 Co_RdM
CHECK ItJ ALL APPLICABLE Winneconne, wr 54986
USE CATEGORY
~ing)e Family DDuplex DMulti-Family
~
582-L\40L
~
DRental
DCommcrcial
o Industrial
FUEL
~Gas
DOn
DElectric . DSolid
o Solar
SYSTEM
DNew
DOther
2Replace
TYPE. .
t8Forced Air DRadiant DSteam J81NC DVent DElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo ","Yes - LINER SIZE 3 ii & MANUFAC1URER. }-\ Q. ~t <f Ccol e. y
Note: All chimneys shall be sized per.the BTIJ's being VCDted.
CHIMNEY TYPE
IlEA T LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimncy B
ImExisting
I8Variable
DDirect Vent ElOther P V C- .
DNot AppliCable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE I V\ s.t cd \ Sg MY'P ofro ffo (!;(f)D BTV
~\.t'tV\CtQ.~ v.. 3.'&>TXA030 .~_(f")(!)O BTiJ A.J(f~ C~u'Y'~tr\j
V ALUE (Including labor and all materials including light fixt~res) $ '5 to () 0 .
ELECTIUCALCONTRACTOR
QJ1 Xl Electric Iastallatioa Verificatloa form attacbed(IfRcplaccmenl)
EJectrlclU I1Is~UtltkNI olMWIrqHtlt:alMl ~uiplMltllltaJl be dOlle by licetu<<I eOIftracton.
3/02