HomeMy WebLinkAbout0125603-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1620 WISCONSIN ST
CITY OF OSHKOSH
No
125603
HV AC PERMIT - APPLICATION AND RECORD
Owner BRUCE C SALZER
Create Date 07/02/2007
Contractor MCM AIR INC
Fuel l!'J Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss r) As Approved ____ Existing
BTU Rate [) As Per Plan . Variable
Category 501 - Residential-Air Conditioning Plan
I
I
~
U Electric
o Replace
U Steam
I I Suppl.
C) Direct Vent
U Solar U Solid
o Other
~ NC U Vent
L I Con. Burner
. Not Applicable
() Not Applicable
() Other
Use/Nature SFR /INSTALL NEW NC SYSTEM, EIV SIGNED BY SECKAR ELECTRIC
of Work
Value
Value
Fees: Valuation $2,000.00
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Issued By: ...QI.I....le
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 07/02/2007
o Permit Voided I
Parcelld # 1209180000
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 of Oshkosh
Division of1Dspcction Services
P.O. Box 1130
Oshkosh. Wl 54903-1130
PboDC(920)236-5050
Fax (920) 236-5084
JUL ~ ... ')'.',"7
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DEPART'!ii:..;'';! ()F
COMMUNITY UfVf:u)pr\~nJT
INSPECTION SERVICES DIVlSIOl\l
HVAC PERMIT APPLICATION
All informatioD after bold cat.clories must be provided.
Incomplete appUcatioDS will DOt be processed.
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OSQtR
· App1ication(s) and fcc(s) can be brought to City Hall, Room 205 ormailcd to 1nspcction Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pcnnit(s) will rault in fees being doubled or S1 00.00 p1~
normal permit fce, which ever is greater.
OR
~~ ::: ~:,,: t~~;t;~::~~:r~~r:l~~lJa;l":o~,. t::c:::~,ff:rf! A~eou1lt Sv~tnt and have adequate fund! cllf~ck I
DATE ~ - 2- 9 - [j ..,.,
JOB ADDRESS ) ~ 2 (3 \f.f ~ 9, c, ~ (/\ ~ /' r-.
OWNER ~~u'c.e., ~a.'z-er
CONTRACTOR MCM AIR, INC. 6122 COON'l'Y ROM> H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK III ALL APPLICABLE
USE CATEGORY
~gle Family DDuplex OMulti-Family
ORcntal
OCommcrcial
o Industrial
FUEL
~as
oOil
SYSTEM
ONew A OReplace
OOthcr ctd A.{ <U
OElcctric OSolid
oSolar
TYPE. .
OForccd Ai! ORadiant OStcam;sNC OVent OE1cctric DHot Water DSuppl.OCon. Burner
IS CHIMNEY BEING LINED GiNo DYes -LINER SIZE
Note: All chimneys shall be sized per-the BTU', beiDa vCDlCd.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
OAs Approved
oAs Per Plan
OOther
OCbimncyB
'mExistina
ElVariab1e
ODircct V cnt
DNot Applicable
OOthcr Value
r ~
\ fl.\/" "{'- , e'r
DESCRIPTION OF ALL WOM BEING DONE \ 1(\ I>.'t Go \,~
-.J~)~DD ~TU tq~
Jt.ti\'S, Prstt?
v ALUE (Inc1udin~ labor and aU matcrlals'lnc1udlDC llCbt flxtures) S 2 (!) eo .-
Ql! 'J( Electric IDStallatioD V crUlc:atiOD fOnD anacbed(1l Rcp&accn
~ UuIlJU.,4o/e of~ eqvipMvaI WJI k --. by lac-s.
ELECTRICAL CONTRACTOR
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JUL ~ 2 2007
DEPARTfvlENT
COMtv1UNHV DEVELOPMENT
INSPECnON SERVICES DIVISION
. Electric In.tallation VerlflcatloD'. .
l(We) ScC,W ez.ec:IEJc. lo. IJJC.
CEltc:trica1 ContrlctorNamo)
5:120 rDu raNev ~. WAt~~ ~b. @lJfJaolJtJe: W( Sl{i~
(MdfMI) . (Q (State) (Zip Code)
b&vo been contracted to parform electric hut~UWoA work tor A1CM. k lie.
. (Nam. otpany com:&ctccS to)
It 1110 followins addre5l: t ro J.- 0 \1\0 ~'~ C ~ l/\. &" ~ Vi
(~....h= wozk will be Perfhtmod)
The nature otthe work conWtI ot. (~One orDeacribo.tbo Natww o1'Work)
- ReconntOtioQ or now cI:cull tornp1I..~mt Hflltfl'l tlwlDdlor AJC~~Jtt.
- R.ccoDCootion or now cln:uU tor replK-,e=!.1ectrio Water Heater or power vented
. W&tcr beater.
- Roccnncctioa o!thc Service &t:moe C&b1c, M6t1r Box. ~ tq roceptaclQ
and U&htina fixturcI duo to Iidiq laomt htth '1.rioD. Note: New Service
~ Cables will Rquhe & upcuopcmUt.
- lUeom1ectioa or now dn:u1t fer the "S'lW'lmeat of other pc:nnancat1y wired
. . &pp1Lu1ces 11ix\urea. .
X Now circuit for the ad4itioa of JJC to m I1td1vldu4l dwfll~wW (house or the
ind.ivi~ l)'ItemJ In . duplex or eQCd-i'lllum), tzsc1u4!nJ nquired scrv\ce
clootri.oal outlets.
Other
Tho :value ot~. wozku sJ 50.00
I hereby verify thi, work wW. b. pcdozmt4 by IZl employtt olthla ~ and t'urtbcr verify
thc~:1:ctionl inltiJatiOQ will be dCDIin compUmce with ~~ctUm &:1d Elec;tric to4e
roq~menu. .
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(SlpIUre'o! Compm)' Omcer)
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(Print Nama of Of!icor)
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