HomeMy WebLinkAbout0124857-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 2075 VINLAND ST
CITY OF OSHKOSH
No
124857
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES R THOMA
Create Date 05/17/2007
Category 502 - Residential-Both
I J Electric
PJ Replace
U Steam
LJ. Suppl.
Plan
Contl"actor MCM AIR INC
Fuel I~ Gas
System o New
l!J Forced Air I
LJ Electric 'I
Chimney Type Chimney A
Heat Loss D As Approved
BTU Rate K:) As Per Plan
LJ Solid
o Other
U Vent
I I Oil
I
J Solar
U Radiant
1 J Hot Water
l!J AlC
I J Con. Bumer
Chimney B
. Existing
. Variable
Direct Vent Not Applicable
o Not Applicable Value
() Other Value
Use/Nature SFR / Replace furnace and AlC unit. Install 3" chimney liner. EIV provided by Seckar Electric.
of Work
Issued By:
$7,800.00
~
Plan Approval
$0.00
Permit Fee Paid
$127.00
Fees: Valuation
Date 05/17/2007
o Permit Voided I
Parcelld # 1219622800
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
)2.."7 "
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, . City o(O$hkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI S4903- \ \ 30
Pbooc(920)236-S050
Fax (920) 236-5084
~
Q8QtR
HVAC PERMIT APPLICATION
AU information after bold catclorics must be provided.
Incomplete app1icatioDS willllOt be proce$SCd.
. App1ication( s) and fee( s) can be brought to City Hall. Room 205 or mailed to Inspection Services. PO Box 1128.
Oshkosh WI 54903-1128. Commencing work without pcnnit(s) will result in fees being doubled or S100.00 ph~
normal permit fec, which ever is greater.
OR
.
~~ ::: ~(Je"~ t~~:~:::::~~~r:i~?lIa:i":o~,. '::c::::,'rte Al!cou"' SV~'I!," tnd have adequate funds. cited j
DATE 5 - I b - C9 7
JOB ADDRESS ). 6 7 5' \J ~ n 1 0. V\. d
OWNER J a '{y\, e S Th @ \tv) CA
CONTRACTOR l-Oi AIR, INC. 6122 COUNT'{ ROAD H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
SSing1e Family ODuplex OMu1ti-Fami1y
ORental
OCommcrcial
OIndustrial
FUEL
f;iiGas
DOil
DElectric OSolid
DSolar
SYSTEM
ONew
DOther
~q>lacc
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TYPE. .
~orced AIr ORadiant OSteam faAJC DVent OElcctric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED DNo tiJycs _ LINE.R SIZE 3 II & MANUFACTURER~o. t t i-Coo(ej
Note: All chimneys shall be: sized per.the Bro'l beiDa vCDtCd..
ClIIMNEY TYPE DChimney A OCbimncy B Boircc:t Vent OOther
REA T LOSS OAs Approved ~I ONot Applicable
BTIJ RATE DAs Per Plan J2l,Vuiable OOther Value
DESCRlYI10N OF ALL~ORK BEING DOm:J Y\ <'.1' Q, \ \ C-oX'/' i e r 5 $} M \J 8(')&'Q
8(') 000 ~\ \5 IlvV"'AQCe. t- :l4ANf\73GAOC>3 3to..d6o BTt!
P."l/ c:..
VALUE (lDc1udin& labor and all materials'lncludlnc UCbt nnurcs) s 7 [1 (2) () -
. ELECTRICAL CONTRACTOR ~ e Q..k all'
MAY 1 7 2007
61\
(~Jr q
DEPART~"'ENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
":,'"
oIs
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to..,,>> ,
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fa -.uwo...
. Electric Installation VeriflcatloD
l(We) SIE:GW aec...mJc. CD. IlJe
(E1ectrica1 CoatrlGtorNamo) .
5t~r.Dtl raNf2( _PW~~:' ~b. @ltJ~~~/JIJe:(Zlp~~'j~
hAvo been contracted to pc:form e1.otriG inItI11&tioD. wotk tor .A1 CIA. k I ~
(Nam. otpany oontnctcc1 to)
It 1h.e followinS addn:n: 2 C 7 5' \) tV\ \ Q V\ 0\ . .
(A.ddraJ.....hcre wozk wU1 be perb:mod)
Tha lWUre o!tho work consiJta o~ (<;boek OAt orD.cribe.tb&I Namr. of Work)
- R.eoonneot1on or new cI:cWl fornpJlt"~~t HI&tlq Plmt mdlor Ale Cnn~sa.
- Rcco:cneotion or new =wt for rep1K~e:at E1eotrio W.:er Heater or power vented
. ~ bcatc:r.
- Rcccnmcaioa o!tho ~.Emnnce C&blc. Moter Box,I1tCllioDa to roceptacla
and U&htina fixturcI <No to IidlDa IIOmtWt.n.~ Note: New Service
Emnnee Cables 'Will zcquhe a IcpcI10 pcmUt.
- R.eeo:mectioa Qrnow drcu1t fartlw np~= of other pcnnmtDtly wired
'. .~Cl/1lxturta..
X N~ circu.it for the a4d1tion of JJC to III tMJvldwJl dwtUl1Iz IDUI (boua or tba
iD4ivtcN&1l)'1tem.s in . duplex or eocdM'l"li~lum), t:c1u41nJ required $cMce
eleotri.o&l outlets. .
_ Othc:
TbI ~~uo o!~. wOIk iJ sJ 60.00
. .
I hacby veritt thiJ work will, b. pcdozmt4 by III employ" of~ .~ and further verily
t:,e. teCOn:t=on I wt&ll&tion will be denlin compUmce with uwra!acturer cd Eoetric tOdc
nquircmcnu. .. '. .
Ji~~ f1~,L
(Sisnarure'ot Company Omcer)
~..w6 f!,. ~
. (Print Name ofOm~)
5'-1~-@7
(D1t:)
REC I\tED
MAY 1 7 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISlON