HomeMy WebLinkAbout0127289-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1131 W 18TH AVE
CITY OF OSHKOSH
No
127289
HV AC PERMIT - APPLICATION AND RECORD
Owner DENNIS L ZARLING
Create Date 10/16/2007
Fuel 0:::Ga-$ IT2TI- I U E_~e~~r~==-J ITSolar~--J U_.9_olid___~-=1
System OlJew -.J [~L~E;pla~.El.__m__~__~-.J O_2t~~~___________~J
~ ~~r_c.ed Air~ CLRadiant J U_~S}~a~~-=~J ~ A1C_:~~=-:=: U_\,I~_n~~===J
IT~':I;' -l D.....-..H.~otWater-~~-1 0 ' 0 I
~~~_.---J ~ _ _--,-~:~ll.Pe[=== -1:g~n:l3l}_r~~i:-i
Chimney Type O_9tif!1_~L~==:-U-.fhi~-n~y B~_-~_==:--_a:[)irect\7e;,t~-====:.-H(;Q\ppjiC~ble- .-..=]
Heat Loss ITS:>~2Pf~'!~~===_==a-.E~lsting -:-==::_====]I--l\IoI~p.pI~Ee:::-===J Value --.-.--~------
BTU Rate rr-As=~~=~~ajl=::===-v:::-y~f~~=:=:=::==.-=Q[h~r=--===:==~=--:J Value ----------- ~-----------
Use/Nature ISFR / RePlacefumace and a/c.
of Work j
MCM AIR INC
Category 502 - Residential-Both
Plan
Contractor
i
l______
EIV provided by S-eckar Elecfr-rc.------------------------------------------\
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I
I
~.__.~.._._______. ____.1
Issued By:
$6,700.00
jl/YJVO
Plan Approval ___ $0.00
Permit Fee Paid
___Jl},Q,,5,Q
Date 10/16/2007
Fees: Valuation
o Permit Vo.~d~
Parcelld # 1310470000
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.
Date
Signature
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.
1l0. Sf'
City ofomkosb
Division of1Dspection Services
P.O. Box 1130
Oshkosh. W1 S4903-1130
Phone (920) 236-S0S0
Fax (920) 236-S084
~
~QtR
HVAC PERMIT APPLICATION
All inrormatioD &ftc:r bold catclories must be provided.
Incomplete applicauoDS will DOt be processed.
. App1ication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to 1nspcction Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pcnnit(s) will result in fees being doubled or S1 00.00 pl~
nonna1 permit fee, which ever is greater. .
OR
~~ ::: ~aen~ t~~=';~::~~J:~r~l~~ua;ln:o':" t::e::~"f:te At!count Sv~te," and have adequate funds chell I
DATE ) 0 - I 5 ~ 0 7
JOB ADDRESS \, 3 \ \J\j \ ~:!j. A V ~
OWNER \)0,~V\ \ ~ Za'f \ \ 'V\ J
CONTRACTOR ~ AIR, INC. 6122 COUNT'{ ROM> H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK ItJ ALL APPLICABLE
USE CATEGORY
t8Sing1e Family ODup1ex OMulti-Family
ORental
DCommercial
OIndustrial
FUEL
SGas
OOil
OElectric DSolid
OSolar
SYSTEM
ONew
Oather
O{Replzce
TYPE. .
14Forced Air ORadiant OSteam r.2!AIC DVent OElcct:ric OHot Water OSupp1.0Con. Burner
/
IS CHIMNEY BEING LINED l;2!No DYes - I.lNER SIZE
Note: All chimneys shall be sized per.the Bro', beiDa vCDlCd.
CHIMNEY TYPE OChimney A OCbimncy B ODirect Vent mother 'P" c.,
REA T LOSS OAs Approved OExistin; ONot Applicable
BTU RATE OAs Per Plan OVariablc DOther Value
DESCRIYflON OF ~ WORK BEING DONE 1 ~tt \ \ Q,W1'(- I e.'f 5& l-A \Ie 0 bLJ
he) 006 m \J ~j If Y\ Q c., e. t- r2 Lj. A_~_ 72 Lf A 0 a 2> ~ 'Ie-Of) BT l f
AJ~ '
& MANUF ACTURE.R
"'(;>
V ALUE (1ncludin~ labor and aU matcriats'lndudlDC UCbt flxtures) S fa 7()() .~
ELECTIUCALCONTRACTOR
Q!1. ~ Electric IDStallaUoD VcrU1caUOD fOnD anacbed(1(kcplaon
~ IluliJUlIllolt o/~ ~ UaAl/~'" byl~
R I
~
OCT 1 6 2007
DEPARTi~1ENT OF
COMMUNITY DEVELOPMENT
INSPECfION SERVICES DIVISION
'.
0&
CII1"'~
~.,........ s-IeM
SJJa.N '-
toklut ,
~WJ ~mo
0_ tQO.U....
.. ~Ha'i
, Electric Inltallatlon Verlflcatlou
l(We) Secw. ezetWc. Lf;>. IIJC.
(El.aricalCoGtractorNamo) ,
S(~;.D~~eY fwt\t~~ ~t:>. @rJ~';.~IJIJe:(Zlp""L.S;'ju.
b&vo been contracted to perform ~totdG b1at&11&t1ol1 work tor ..AJ CIA.. kIf!!:.
(Name otpany eon1ncte4 to)
i-A A' '
It 1b.o !ollowinS a&he,s: JJ..3..\ W ] f? '-- V ~
(~,whae wolk will be p~od)
TblllUure of the work consUts o~ (~OM or Ducribo.tbe N&1unI of'Work)
- R.oconneotioQ or now chou11 tor nplIC~t=t H'."'I'I Plam and/or Ale c",,~la.
- R.cconnootion or now clreu1t tor rep1K~ct Electrio W~ Hwer or power vented
.' WI.tc: heater.
- R..oconncctioa o!tbc ScMcc Eutnnce Cable, Motif Box.IJtcaticma to roccpt&Clea
and U&htina fixturcI duo to Ii4lDa laomt inIt.'l*doD. Note: New Service
Etmnee Cables will rcqub . ~pcanit.
- R.ecczmectioo or now dn:u1t far th. ~J&c.-m~ of other pczmmczrt1y wired
'. ~es/~
.){ N ~ circuit for the additioa of Ale to 111 IM1vldU4/ dwtUlnz 1DW (house or,tha
iodivtc1u&1l)'Stems in . duplex or ccad~.~h=), inclu41nJ requ1rocS $cMce
eleotri.o&l outlets.
Other
ThI value o!~. wOIk ia sJ no. 0 0
I hacby veri!)' thiJ WO~ will, b. pcdozmtd by m a:np1o)'N ottbll ~ ~ tunbcr verily
the'reeon:1:cUon I inltI.IlatiOQ will be dODIiD compUmcl wilh mI%111!acturer cd Electric to4e
~~"'em=u., . ..
Ji)\, /1"Jr
(Slpwure'ot Company Orocer)
~g f!-. ~
(Print Name of Oflicar)
1(S-\5--'01
(Date)
R
~
OCT 1 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION