HomeMy WebLinkAbout0126788-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1146 OLSON AVE
CITY OF OSHKOSH
No
126788
HV AC PERMIT - APPLICATION AND RECORD
Owner SCOTT R SCHUSTER
Create Date 09/14/2007
Contractor
MCM AIR INC
Category 501 - R~~lclential-Air Conditioning
Plan
Fuel [?IGas U~_~ ~CTr1C---1 ~___:=J ~nd ~=~J
System 0_~_ew 0_ Repla~El_____~__J Other
lliorced Air l DRacrrant~-J DSt~~~=:=:==~ ~AlC-] [I~~~I====]
rnearlC~-1 D~~~~ rn~ppr~--~ U Con. BurnElrJ
Chimney Type IT~~l~~~_______Q~I1IIll~~=_-_==:TI~~ V~I1l==:::=:"'.-N~CApplicable-==
Heat Loss ITAs Approved-----:-. Existing __D~iETIcabfe~----:=J Value
BTU Rate QAs Per Plan -U Variable . Other-~ Value
Use/Nature !SFR /INSTALL 24,006 BTU AlC WITH FAN COIL, EIV SIGNED BY SECKAR ELECTRIC CO INC "check #19422
of Work I
__UI
J
Fees: Valuation $5,500.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$92.50
Date 09/14/2007
o Permit Voided I
Parcel Id # 1252050000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number
-~ --- ------
920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City o(O$hkosh
Divisiou of IDspection Services
P.O. Box 1130
Oshkosh. WI S4903-1130
Pbone (920) 236-S0S0
Fax (920) 236-S084
(LZ.. l,;' 0 r
~
0E9tR
HVAC PERMIT APPLICATION
All information after bold t&telories must be provided.
Incomplete app1ic:atioDS will not be: processed.
JOB ADDRESS I t t+ f.a 6 \ S <3 V\ A V~,
OWNER S c.. C) -tl' t\ C- ~ u ite. 'f'
CONl'RACfOR MCM AIR, INC.
6122 COON'I"i ROAD M, WINNEXX>NNE, WI 54986
~H~-4402 FAX 582-0136
CHECK E2! ALL APPLICABLE
USE CATEGORY
SSingle Family o Duplex DMulti-Family
ORental
o Commercial
DIndustrial
FUEL
l2lGas
DOil
DElectric OSolid
o Solar
SYSTEM
!!New
OOther
DReplacc
TYPE. .
OForced A1r ORadiant OSteam I21A1C DVent OE1cctric CHot Water DSupp1.0Con. Burner
.'
IS CHIMNEY BEING LINED &1No DYes - LINER. SIZE
Note: All chimneys shall be sized per.the Brot, be:iD; vCDlCd.
CHIMNEY TYPE OChimney A OChimncy B ODircct Vent DOther NI A-
REA T LOSS OAs Approved eExistina DNot Applicable
BTU RATE OAs Per Plan OVariable 1&10ther Value
DESCRIPTION OF ALL WORK BEING DONE \ Y\ ~TQ \ l C &'t "\;- ~ ~ J 4- A B A311fA ~
;(. 4, (!) 0CJ BTU' Al Q., \fJ i't'^ 0.. V\ Q0l \
& MANUFACTURER
VALUE (Includin& labor and all matcrlats"lnc!udlnc UCht nxturcs) S .5 5 DO. 00
ELEcnuCALCONTRACfOR
QB. 1lE1ectric lutallaUoD VcrUkaUOD fol'lD anacbed(1l Rcplacxm
~lIu..UGl_ of~~WaJl""'byl~
J
~
Cll1"~
~ tl.............
III a..u ,."..
10 11& Ult \
~WJ I4IClSomo
0_ tIIOoUUOito
..~W
Electric Inltallation Verif1cat1ou
l(We)~SCCw. aec:~Jc. w, }1Jc.
. . (E1tccrica1 ContraGtorNamo) .
S':izo I"M ftiIlJe;v -fWfttlk~ ~t>. W,"''''aolJlJe: IAJt S'l'ieG.
(~) . . (Q (S1&1c) (Zip Code)
b&vo been contra.ctcd to perfonn e1eotrle inIta1J&t!oA work tor .A1 CIA. Ir I ~
. (Nan. otpa.ny ~te<1 to)
1% 1110 fOUowins addR5I: 1 \ 4-- Co C3 \ ~ @ V\ f\ V ~ .
(Addrc&J....ha-e wozk will be Perf<=lod)
The n&ture o!the work eouWta or. (~One orDoscribe.tbe Nmu-. of'Work)
- RecozmtOt!on or now ~u1l toerop]lr~<<at Hwlq P1mc W1~ Ale C~~ur.
- R.econneotion or now drcu1c toe npl&c'~IDt!1eotriO Water HN:er. or power vented
. W&tcrbcatcr. '. . ....... f' .
- Rcc:01mcctioa o!thc Service ~ C&b1G,)40tar ~ ~ .to'~T.I.cleI
and Uthtin. fixt1.nI duo to Iidbsa II015Uut.11atioa.Notc: New Scrvieo
~ Cables will rcquhe a ~pc:mit. .
- Reeozmectioc or now drcu1t far thI ",,1a:~= otothc:r pcnnanezrtly wired
. . &ppli.anecs/1ixturea.. .
.){ N ~ cUcu.it for the additioc of JJC to ID flldjvldu4l dwdllltz 1DW (house or tba
iDdivicSu&1l)'1tea:a In . duplex Of r.QCd-f~lum), b:1c1u4lnJ required Ic:v\ce
electric&! oU1leta.
_ Other
Tho ~&luo o!~. WOlX iJ sJ 50.00
I hereby vcril't thiJ wo:k wUJ, b. pcdozmt4 by IZI emplo)'M otthla MmpaD)' 1M tunbcr verify
the teCOO:t:ction I installation will be dODI1D compUanc8 Wi~ ~!lQUJw a:x1 Elec;uic co4c
RQu1rcmczw. .' " .
ji~~ f1{h
(Si~'otCompI11Y Omccr)
~gf-. ~
(Print Name'ofOfficar)
Cf-{3"'~7
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