HomeMy WebLinkAbout0125396-HVAC (a/c)
G
OSHKOSH
ON THE WATER
Job Address 330 S LARK ST
CITY OF OSHKOSH
No
125396
HVAC PERMIT - APPLICATION AND RECORD
Owner JEFFREY B SMOOT
Create Date 06/19/2007
Contractor MCM AIR INC
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
D Other
~ AlC U Vent
I J Con. Burner
. Not Applicable
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Use/Nature iSFR / INSTALL NEW 30,000 BTU AlC UNIT, EIV SIGNED BY SECKAR ELECTRIC
of Work
Value
Value
Plan Approval
$0.00
Permit Fee Paid
$44.50
Fees, V"uat'~. $2,300.00
Issued By:
Date 06/19/2007
D Permit Voided I
Parcelld # 0610210000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
--
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
"
.'-':
City o(O$hkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI S4903-1130
Pbooe(920)236-5050
Fax (920) 236-5084
44,56 r
~
0E9LR
HVAC PERMIT APPLICATION
All information after bold c:atclorics must be provided.
lDcomplet.e applicatioDS will not be proccssc:d.
JOB ADDRESS 3 ?; C) ~ L Q \f k
OWNER ~Je f-~ ~ VY\oo"\'
CONTRACTOR MCH AIR, INC.
6122 COUNT'{ ROAD H, WINNECONNE, WI 54986
j~~-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
OCommercial
DIndustrial
FUEL
l8!Gas
OOil
ONew A1::Q (':'Replace
'\5iOther P;~
OElectric OSolid
OSolar
SYSTEM
TYPE. .
DForced All- ORadiant OSteam JSl.NC DVent OElcctric CHot Water CSupp1.0Con. Burner
IS CHIMNEY BEING LINED aNo DYes .. L1NE1l SIZE
Note: All chimneys sball be sized per-the Bro'. beiDa vCDtCd.
& MANUFAClURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
OAs Approved
o As Per Plan
ODirect Vent OOther '~V~
ONot Applicable
OOther Value '
OChimncy B
CllExistinI
OVariablc
DESCRIPTION OF ALL WORK BEING DONE \ Y\.~\a... \ \ C...o.\{'\{' ~ ~ y- /1.lf A ~ l\3~3oAo03
3n (3]00'\B. T U A I r ~
J ~
VALUE (lncludin& labor and all materlals'lnc:ludlnl Ulbt ftxtures) S ~3(S)o ~
ELECTRICAL CONTRACTOR
Ql! ~Electric ID1tallaUoD Vc.rU1caUOD fOnD .nacbed(l(R~
~ lIu,.lUulole o/~ eqwipMaI WaJl b. *- by 1'"-
..,
oIs
CIl.:r"~
~.,...... ......
SUQIN .....
10:11& &Ut ,
~ WI I4tQS.mo
0_ tIIOoU....
Po ~..
. Electric Inltallation VeriflcatlQD
I(We) SIEf'flsC ezetW' . lD~ IIJC.
(E1teCric&1 CoG1ractlorNamo) .
Sf~fD~~eY. ~c1ft1~~ ~t>1 @tJ~';.~IJ"'e:(ZIp'^t.S;'jec.
b&vo been contracted to perform e1totrlo inIWlatlon woxk tor .tff CIA. k I ~
S..' (Nam1otpanyc:omw:te4to)
It lb.e following adchc5l: 33 6 lQ 'It k. ~t-
(~"'hcro wozk will be Perfotmod)
The nuure of the work cousiJtI of': (~One orDeacribe,tba Namrc orWork)
- R.oconn.ot1on or now cl:cult torn-p],..~~t UwlAa PlalrJlJlor Ale ~~'er.
- R.cconneotion or now =wt torrep~ct E1eotriO w.- Ht.&ter cr powcrvcnted
' W&tcr beater.
- R.cco1mcctioa of tho Scnicc Ez1trmoe ~ Mo. .Box.'~ to receptacla
and U&htin, fixturcI duo to IidIq II015t m,t-11-HOZ1. Note: New Service
~ Cables wW rcquh. a~pcmUt.
---:- Reeotmectioa or now dn:uit fer 1h8 np1ac--"'"f of other pc:mantatly wired
V app1Lu1ccsl ~ .
~ Now circuil far the addition of JJC to IZ1 W1vldu4l dwU~1DIIl (house or tba
iDdivi<1u&ll)'Stems In . c1up~ or ~<!"""'i1\lum), Uu:1u4inJ required $cMc:e
electrical outletl.
_ Other
Tho ~llue ~!~I wozk 11 sJ 50.00
I hacby vcri1'j thiJ work will, b. pcdozmtd by IZl cmpJo)'M olthla ~y ID4 t\1nbQo verily
the teCOD:1:ction I WtaD.atiOl1 will be dca 1a comp1lJncl with 1MW'!.teturer &:ld Electric c:o<1e
roq*rncma. . , .
Ji~~ f1{L
(SlilWUfe'ot Company Otncer)
~g '{!. ~
(Print Name of Officar)
~ - ( &> - (()1
(DUC)
~
~