HomeMy WebLinkAbout0127332-HVAC (furnace; a/c)
e
OSHKOSH
ON THE WATER
Job Address 1249 ELMWOOD AVE
CITY OF OSHKOSH
No
127332
HV AC PERMIT - APPLICATION AND RECORD
Owner LARRY A BOOS
Create Date 10/17/2007
-----"--
Contractor
MCM AIR INC
~-_._,-----~---~...._------_.~--_.._._----~
Category ?_O~~.!3esid_~r1~C1I~_I?_~th ___~___m____
Plan
BTU Rate
ff(3~~=~-=--~] O_:ol1===J D_~~lectric -==]
0_ Ne~_~____~ 0 R~E!C1~__~~J
~ For~dAir I U~~__~ U Steam _~ ~ NC ]
Q-~J~~tric ~ GHot Water -.J ~L=] U Con. Burne~J
rr~~-==_____Q c~~~______=OJ?Ji:~_c~VenLm~~=:lI}:l()Y~EeJ~'3ble ____J
[)As Approved -__==-~~_=:=====rT Not)\ppTic~IEi===--J Value
ITAs Per Plan . Variable -====:O::Other____:===__ -l Value
Fuel
System
Chimney Type
Heat Loss
------------------------ -1
Use/Nature ISFR / Replace furnace and a/c. EIV provided by Seckar Electric.
of Work:
!
I
I
L
Fees: Valuation _______$1,600.0Q
Issued By: ~
Plan Approval
$0.00
. -----_..~-
Permit Fee Paid
$J2<1:QQ
Date 10/17/2007
Permit Voided
Parcelld # 1201690000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
121/,!,
Ciry ofomkosh
Division of'lnspection Services
P.O. Box 1130
Oshkosh. WI S4903-1130
Pbooe(920)236-S0S0
Fax (920) 236-5084
~
OEQlR
HVAC PERMIT APPLICATION
All information after bold catclorics must be provided.
Incomplete applications will DOt be ptoCC$SCd.
JOB ADDRESS-' Q, if q E IWl \Vex) d {\ V e
OWNER l~Y\'1 Roos
CONTRACTOR MC.H AIR, INC. 6122 COON1'Y ROAD H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
(8Single Family ODuplex OMulti-Family
ORcntal
OConuncrcial
DIndustrial
FUEL
~as
DOil
OElectric OSolid
DSolar
SYSTEM
ONew
OOthc:r
13Replacc
TYPE. .
~orced Air oRadiant oSteam J8'A/C oVent OElcctric OHot Water OSupp1.0Con. Buma
IS CHIMNEY BEING LINED [!No DYes - LINE'R SIZE
Note: All chimneys shall be sized per.the Broo, beiDa vCDlCd.
&. MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTIJ RATE
DChimney A
OAs Approved
OAs Per Plan
OCbimncy B
~F~i
t9.Variable
DDirect Vent 6a.Other '? \) c...
DNol Applic:able
OOtherValue
"
DESCRIPTION OF ALL W~RK BEING DONE ~ ~ ~ t- N ~ ~ t~.: ; A" 5),> M \J ~ ~ \?' CJ
& (~6 COO B. T 1 ) "U Y' t)Q,(l_e.. c(... 4- A 7 G ct3 ? to ,CJ R T tJ
I\JC-- ~ "
f
VALUE (lncludinc labor and all matcrlals'IDcludID& Ucbt Oxturcs) S 7 ~ C) () -
, ELECTRICAL CONTRACTOR
QB ~ectrtc luta11atloD VcrUkatlOD form anacbcd(1lRq>&accn
~ sJutJI ,. *- by lac--
OCT 17 2007 11)"J~
DEPARTMENT OFl'
COr"'lMUNITY DEVELOPi\1ENT \
INSPECTION SERVICES DIVISION
<''--'''''''''.'~''--'
oIs
Q;J"~
~tl~....
I" a...q ."..
to..uu ,
~ \V1 I4eCDol1)o
CUll.. tQA.~UOM
fa ~~W
. Electric Inltallatlon Veri11catlou
t(We) ScC.W eZec:~Jc. LQ. ,1Jc..
(EI.tc:cric&l Contr&ctorNamo) .
5:)zq ('~~~ev ?iUJ\llk~ ~b. @NiJecolJl1e IAJ( &l"ieG.
(McmI) . (Q (Slate) (ZIp Code)
b&vo been contracted to pcrlorm e1eotric b1Ita11&1!oA work tor :Jf CIA. k I ~
. (Name otpany comtacte4 to)
atthafollowinslddren: J 2 Lf1 tl W\ \1Jooa. A1J~
(Addrc&J,whclo wozk will be Perfbtmod)
!ba tWura o!the woIk eonsiIts of': (~One orDescribe,tbe Namr. of'Work)
- Recczmect10n or now chcu!t foereplIC~~t ~~l'l Plam lDdIor Ale Cnn~ICr.
- R.ccom1~n or new clrcult foe repIK~tZ1t ElIolrio Wmr HI&UIr or power ventoc!
' W&tcr beater.
- Rcccmncctioa o!thG Scniec E=moe Cable, Moter Box. ~ to ncep~
and Ugbtinl fixn:aca duo iO Iidiq II015t iDIt-n-ttoa.. Note: New Service
Emranee Cables will RqUhe a upatUopcmUt.
---:- lteco:mectioo or DeW ci:QUt for tb. ~11~= of other pcrmantDtly wircc1
appU.a.occa/1ixtu:el. .
X NtNI circuil for the addltioa of JJC lO an fNI1vl4u!Jl dwtllbt81D1t1 (house or Che
iDdividu&ll)'ltemJ In . duplex or r.ccd-.,f1\!um), mc1u4lnJ requ1recS $crvlce
electric&! outleu.
_ Other
Tho :value o!~. wcn:k b sJ 50.00
I h=by verifY thiI work will, b. pcdormtd by an anploytt otthla ~y ID4 tunbcr verify
the reeoD:1ocU011/ inJtallatiOl1 will be: done 1D compUance Wilh mcD!JtctuJ'er cc1 Elcculc code
~~mcuu. " " .
ji)\~ f1{L
(Sl~lotCompmy Omcer)
~8"~~
(Print Nama of omc:ar)
~:-~3Ji" ~'f:':.~:fffi.;i
?il
I
\6'-[b'--67
(Date)
~
.
OCT 1 7 2007
DEPART!V1ENT OF
COMMUNITY DEVELOPMENT
. INSPECTION SERVICES DIVISION