HomeMy WebLinkAbout0124788-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1045 W 19TH AVE
CITY OF OSHKOSH
No
124788
HVAC PERMIT -APPLICATION AND RECORD
Owner MARTIN DIANA
Create Date 05/15/2007
Contractor
MCM AIR INC
U Gas
o New
Category 501 - Residential-Air Conditioning
Plan
Fuel
UOil
U Solar
U Forced Air
.... " LJ EleCtriC ..
Chimney Type () Chimney A
U Radiant I
U Hot Water"1
() Chimney B
() Existing
() Variable
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
System
I
,..''tj Con;'Burner 'I
~ AlC
. Not Applicable
Heat Loss
o As Approved
o As Per Plan
. Not Applicable
. Other
Value
BTU Rate
Value
Use/Nature SFR /Install AlC unit. EIV provided by Seckar Electric.
of Work
Fees: Valuation
$5,400.00
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Plan Approval
$0.00
Permit Fee Paid
$91.00
Issued By:
Date 05/15/2007
o Permit Voided I
Parcelld # 1311360000
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 ,i;3uilding 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 ofomkosh
DivisioD of lDspcction Services
P.O. Box 1130
OshkOsh. WI 54903.1130
PhoDe (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION
All information after bold catclorics ImlIt be provided.
Incomplete applications wiD DOt be proc:cacd.
JOB ADDRESSJ () + 5 V\f \ q 'J::b A V e.
OWNER D \ 0. Y\Q. ~^a ~t; V'\
CONTRACTOR MCM AIR, INC. 6122 COON'l'Y ROAD H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK ItJ ALL APPLICABLE
USE CATEGORY
GJsingle Family ODuplex OMulti-Family
ORental
OCommercial
DIndustrial
..
FUEL
nGas
o Oil
OElectric OSolid
050181
SYSTEM
ClNew oR?C1ace
ElOther Ad. d A <2.,
TYPE. .
DForced Aif DRadiant DSteam DAle OVent QElcctric CJBot Water CJSuppl.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes .1.JNER. SIZE
Note: All chimneys shall be sized per.the Bro', beiDa vCDted.
& MANUF AC11JRE.R.
CHIMNEY TYPE
REA T LOSS
BTIJ RATE
oChimney A
oAs Approved ...
oAs Per Plan
CChimneyB
OExistini
CVariablc
Cather
. ....'"
VALUE (IDc1udin& labor and all materl.1s'lndud~nc Ucbt Dxtures) S b if ~ 6 .-
ELECTRICAL CONTRACTOR ~ ~clo.r-
g~
<{'\
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MAri' 5' 2007
. . ........ . . DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~,;', .~' ,i", 'o;.""i':~,.;;,,"-:'~.F ~,'
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1ltWMa.,........ '-leeI
aUQIN "--
to IIa Ult \
ou-..W1 ~ll)o
0_ tQ6oU......
fa t)HSUOW
. Electric Installation Veriflcatlou
1(W.)~ eLer-lEJ' to. I}JC.
. . . (E1ec:trica1 CoatraaorNamo) ,
~~rD~tmJev fWAt~~ ~~ ~'tJ~~~JJNe: (ZIpW,c!t1eG.
b&vo been contr&ctcd to parfcnn e1eotric inIta.U&t1ol1 wotk tor A1 CIA. Ir lie.
. (Nam. ofpany eozun.cted to)
It the foUowinS addren: \ 0 t+ 5 'V\{ ) q~ /\: V tv
(~.whaw wozk will be Perbmod)
The nUurl o!the workcouWtI of. (~Ouoor~.theN&bnaf'Work)
- RooozmtOtion or now ~ ferrop1lC~lDt HwIq t_lDdIor Ale ~~sa.
- R.cconneotion or new clrcult fer rep1ac~tut Eleotrio Water Heater CIf power vented
. W&:c: beater.
- Rcccmnc:ctioa ofthG Sc:rvicc~. Cab.1:. Mo_~ tl~ to nceptac1ca
and U&htin. fixturca duo to Iicba I aofi1t m.tt.11.tJon.. Note: New Service
Entrm2ee Cables wW Rquhe a ~pa:mit.
- Iteconnecticc or new drcu1t fortlw ftfll~_ of other pc:nnantDtly wired .
V ~es I ftxturea. ,. .
~ N~ cireuit for the additioa of}JC to ID fMjvldu4! dwIl1~ IDW (house or tba
iDdivic!u&1l)'1temJ in . duplex or r.()Cd~i1\lum), tnc1u4inJ required SeMee
eleotrioal outlctJ.
_ Other
TbI ~aluo o!~. wcnX b sJ 50.00
I heRby vcrift thiI work will, hi pedozmtd by an anplo)'M otthla ~y &c4 turtba verily
the teCOD:toction I inst&D.ation will be d=lln comp11mce With ~u.t'l.~ c4 Electric code
Rq~mcma. .- .' .
Jiif\i f1{L
(Sipuure'o! Compmy Orncer)
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(Prim Name of Omcar)
5-14-07
(DUC)
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