HomeMy WebLinkAbout0124855-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 313E IRVING AVE
CITY OF OSHKOSH
No
124855
HVAC PERMIT-APPLICATION AND RECORD
Owner SUE ELLEN ST CLAIR
Create Date 05/17/2007
Contractor MCM AIR INC
Fuell ~ Gas lJ Oil
System o New
U Forced Air U Radiant
. U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss () As Approved . Existing
BTUI Rate KJ As Per Plan o Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
C) Not Applicable
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
o Not Applicable
. Other
Value
Value
Use/Nature SFR /Install used Carrier AlC unit. EIV provided by Seckar Electric.
of Work
Fees: Valuation
$500.00
tZrvo
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 05/17/2007
o Permit Voided I
Parcelld # 0403910000
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
Nl.Imber. 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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,..~,."."-"'^>-<l'_w"'<'-,.~."',.':~..""""'"J,.'O ~
Divisiou otlDspcetion Services
P.O. Box 1130
OshkOsh. WI S4903-1130
PhoDe (920) 236-S0S0
fax (920) 236-S084
HVAC PERMIT APPLICATION
All information after bo14 C&tqories must be provided.
Incomplete applications will DOt be proeeued.
~
anJQtR
· Application(s) and fee(s) can be brought to City Hall. Room 20S or mailed to Inspection Services.. PO Box 1128.
Oshkosh WI 54903-1128. Commcncina work without pennit(s) will rmllt in fees being doubled or S I 00.00 pl~
nonnal permit fee, which ever is grc&ter. .
OR
~~ ::: a;:PI~ t~~:t;::;:;!e~r:~~?lIa:~PI:o~,. '::e:::1'Hftft At!coIIPl' SlIftfHff aPld "alll! adl!{Jllatl! (liPIds cltl!c:Ic I
DATE 5 - I to - ~ 7
JOB ADDRESS 3 \ 2> E \ Y' V ~ V) j
OWNER ~~ue S-t C.\Q\'r
CONTRAcrOR MCM AIR, INC. 6122 COUN'l'Y ROAD H, WI~, WI 54986
~~Z-4402 FAX 582-0136
CHECK ItJ ALL APPLICABLE
USE CATEGORY
gsingle Family DDuplex DMulti-Family
ORental
DCommercial
DIndustrial
"
FUEL
t:SGas
DOH
OElcctric OSolid
DSolar
SYSTEM
ONew. aDRA,lace
(>>Othcr A d I C-
.
lYPE. .
DForced Aif DRadiant o Steam Ji$AJc eVent OElcctric CHot Water CSupp1.DCon. Burner
IS CHIMNEY BEING LINED laNo DYes . LINER SIZE
Note: All chimneys shall be sized per.the Bro'l beiDa vented.
CHIMNEY TYPE DChimney A OCbimncy B mfDircct Vent, DOther
REA T LOSS DAs Approved l.'iJExistina ONot Applicable
BTU RATE DAs Per Plan DVariablc lilOther Value
DESCRIPTION OF ALL WORK BEING DONE \ VI ~T a, n US- e.a C Q V' ~(e 'f
~O, COORT\J P\/~ '
--....L... ,
& MANUFAC11JRER
VALUE (lncludinz labor and aU materials'lndud~n& Ucht fixtures) S S 0 0 . .~ .
ELECTRICAL CONTRACrOR & e c..~a. If' g ~c IDltallatloD VuUkatloD fo
. ; i, ,;~f~I4JR
bcd(1l RqMac:cm
by licwueG
/0
MAY J 7 2007."/Jtf~!:)
. DEPARTMENT OF
COMMUNITY DEVELOP~EN.T 1
ECTION C.ER\!WFS D1 Ii lS1.Of\
INSP " i .J 1 . ---
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C*1"'OUMM
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to",ut ,
C4lIMat WJ 54IClSo1l)o
0_ ~64OM
.. 1')lL,J)We ..
Electric hutaUatlon Veriflcatlou
I(WI) S!;;Cw. el.eC-m,.I' to. IAJe.
(El.arica1 Contractor Namo)
S1,.~..rntl ~eY ~PWAt~ ,eb. @l!J~~~u"'e:(Zlp~~ieG.
b&vo been contracted to ptdonn .teotric ~111oA work tor ..t11 CIA. kite.
o (Name ofpany GOZ1tr&etc4 to)
11: the following addren: 3) 3 E - \ 'r V ~ Y\ ~ .
(Add:C&J-whcro wo~ ~ be permrmod)
!hi nature of the wolk consUta of': (Chock em. or Doacribe.tbe Nature of'Wock)
- Recozmection or now .ult rornpll~~l:Ct Hudq tlmclDdlor Ale C~~Ia.
- R.cc:onneotion or new clrcu1t tor repll('~e= E1eotrio Water Heater or power VCZlted
o W&1cr beater.
Itccozmcc;tioa of the Scrvico Eutnnce Cabk..M.tter Box.lltemiozu to roceptaCla
- and U&htina1iXturcl duo to aid1D; I aomt hut-11.tiOD. Note: New Scrvico
~ Cables will rcquh. &~PCmUC.
~ ~ectioc or new dn:u1t tcrtbe nplu-.ect of other pc:nnanczrt1y wired
. app1L&nccal Axtura.
-X. New circuit far the a4ditioa of AJC to m Ind1vllbuJ/ dwdllllz V1Iil (house or lha
indivic1wJ l)'ItemJ m . duplex or r.oad"","i~um), tnc1u41nJ required service
clootrlo&l outlet..
_ Other
Tha :value o!~. wOIk 11 sJ 50.00
I hereby verif)' thiJ won: will. b. pcrforml<i by ID anploYM otlbla ~y and tunba- verily
the reeon:t:dion I inlt&Ilation will be doz:wIln compUmcl With ~~etUrer cd Eloctric code
nq'4re~.- -. o.
.Ji~~ f1~L
(Sianarure'ot Company omcer)
1LIhJe- #. ~
(PJmt Nama ofOffi=->
5-U~ ~(j7
(Dite)
RIEC 00
MAY 1 7 2007
DEPARTMENT OF
COMMUNITY DEVELOP,q::NT
INSPECTION SERVK:E::- "VISION