HomeMy WebLinkAbout0125387-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1387 W 18TH AVE
CITY OF OSHKOSH
No
125387
HVAC PERMIT - APPLICATION AND RECORD
Owner CARL E STRONG
Create Date 06/18/2007
Contractor MCM AIR INC
Fuel I.!J Gas UOH
System ~ New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A C) Chimney B
Heat Loss o As Approved () Existing
BTU Rate K:) As Per Plan o Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
D Other
~ AlC U Vent
~Con. Burner
. Not Applicable --.J
U Electric
D Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
Use/Nature SFR /INSTALL NEW 24,000 BTU AlC UNIT, EIV SIGNED BY SECKAR ELECTRIC
of Work
Value
Value
Fees: Valuation $2,000.00
Issued By: SYhS
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 06/18/2007
D Permit Voided I
Parcelld # 1307303200
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
-, City ofO$hko$h
Division of'lnspcction Services
P.O. Box 1130
Oshkosh. WI S4903-1130
Pbooe (920) 236-S0S0
Fax (920) 236-5084
REC IVEO
JUN 1 8 Z007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
HV AC PERMfIE~f.,~jffiOOSION
All information after bold C&tclories must be provided.
lneomplete applicatious will DOt be processed.
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JOB ADDRESS \ 3 8' 7 W \ &:t6 Ave
OWNER OJ 0. ~ \ <31\" -c 0~~
CONTRACTOR MCM AIR, INC. 6122 CCXJNT'{ ROAD H, WINNECONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
o Commercial
Dlndustrial
FUEL
62fGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew AI ORCP.lacccl
DOthcrC Ad.
r
TYPE. .
OForced Alr ORadiant OSteam I!ZIAlC OVent OElectric OHot Water OSupp1.0Con. Burner
IS CHIMNEY BEING LINED mNo DYes - LlNEll SIZE
Note: All chimneys shan be sized per.the Bro", hem; vCDlCd.
&. MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
DAs Approved
D As Per Plan
DChimncy B
DExistini
OVariablc:
DDirc:ct Vent OOther
eNot Applicable
DOther Value
"
DESCRIPTION OF ALL WORK BEING DONE \ h st Q \ \ QO,~ '\' ~ e Y' 21./ A BA32 tfA fi:'B
atf-JC>60) BTu A/e..-
- ,
VALUE (Includin& labor and all matcrlals-lncludln& U&bt Oxturcs) S :2, 0 (!!) () (
QB. l( Electric IDStaUatloD VcrU1catloD form anacbcd(1l R~
El<<:IrIaJ IlullJUIIlUlle o/~ ~ Wall k... by 16cMu
ELECTIUCALCONTRACTOR
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SUCMIIU ~
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~WJ ~II)o
o.IIM taOoUueiM
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" Electric Inltallation VeriflcatloD
1(W.) S/3.CW aec.m.J' ~, lAJC.
(E1ecuica1 Coatra.ctorNamo) ,
5:lzo ('Dc) ~~ fiUft!lk~ ~t:>. @tJiJClouue IAJ( S'l"ieG.
(AddmJ) . (Q (St&1c) (ZIp Code)
hi. vo been contracted to perform eleotric lzwa11&tlon wo:k tor .L1f CIA. k lie.
" (Nam. otpany COZUn.ctcd to)
It 1ha fOllowing ~n: J 3 ~ 7 \N "\ & J::..AA V ~
(~,"'h.cn work will b.p~od)
1'ba n&ture of the woIk cousiJu or. (~()Qe orDoaaibe,tbe Nature of Work)
- RecozmlOt10D or now clrcafl !orrep1IC~tDt Heatlq t1lm &DdIor Ale Ow,~w.a.
- Rccomleotion or now clrcu1t tor rep1ac-,cr Electrio Water He.ater ClI' power vented
' WI.tcr bcatc:r.
- R.ccczmcctioa o!tho Scnicc Ez1trmce C&bIc. Motif Box. ~ to recoptacla
and Ughtina fixtu:cI duo to Iidiq I aomt u,.st-l1-uon. Note: New Service
Eotnnee Cables will Rquire a ~ pcmUt.
--:- R.eeozmectioa or new drcu1t for the ",,11(".= o! other pc:nnmtDtly wired
. &pp11aDccsl ~
.){ Now circu.il tor the additioa of AJC to m 1NI1\1~ ~b&z1l1Ul (house or tha
individuall)'ltecnJ in . duplex or ~d-flUum), inc1u4inJ requ1recS IcMc:e
electrical outlets.
_ Other
Tho :value o!~. wczk ta $150.00
I bacby vcrift thiI work will, b. pcdozmt<1 by ID emplo)'N ollhll ~y 1M t'unbcr verily
the" recon:1::cUon I inltIJ1ation will be dcne in compUmcl whh ~r.ctUJer &:Xl Elcetric COde
roqu1rez:ncnu.
Ji~~ f1{L
(Sipwure'otCompmy Orneer)
~gg.~
(Print Name of Officar)
~-J5-07
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