HomeMy WebLinkAbout0127425-HVAC (furance; a/c)
G
OSHKOSH
ON THE WATER
Job Address 2006 MITCHELL 5T
CITY OF OSHKOSH
No
127425
HV AC PERMIT - APPLICATION AND RECORD
Owner LARRY ZINK
Create Date 10/23/2007
BTU Rate
MCM ~IB.JNC _~____~_____ Category 29]_~_-'3El~d~nt!?l:~oth.________.__._ Plan
llias _~~~ D~_=~~J IT~lecfrJ~=:-==] D_~~91?!~=~~:J
D Ne~__________J 0_~ElPJ~c~_________ _J Dqtl!er__
~ ~orced Air -=:J D~~adiant --~J D-=S~~~=-=----: ~~C=~=-==] DV~~ni~===::
U_i::lecli:ic ----:] ITH~~~=J ITsiP:e!..==-== ITg-,,-n~B_~E6:~~J
IT~~ney-A--~O (~~}'~__~====::JJ' D(~~[Y~=-O Not A'ppIiC~~~==~
IT~J:-,,-~__==:OE~___=='=--=. Not Applicable =::::J Value __.__~_____
DAs PEl!J:.!?~~___..-O_Varia~___~~er---~~ Value
solla---- .-
Contractor
Fuel
System
Chimney Type
Heat Loss
UselNature lSFR / REPLACE 60,000 BTU FURNACE AND 1-1/2 TON NCUNIT;EI\TSfGNED BY 5ECKAR ELECTRIC COINC-;;;Check#19522 ---1
of Work
I
I
i
___~_____.._____~_.__,__._,_._.J
Fees: Valuation $5,600.00
Issued By: ~8--~-
Plan Approval _~____ $0.00
Permit Fee Paid _________J~~J?Q
Date 1 0/23/2007
D~erm.il.~?i9!clJ
Parcelld # 1215780000
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.
-,J.....v~
Division oflDspc:ction Services
P.O'l3ox 1130 ...-f
0s!ik0Ib. WI S4903: 1130
PboDe (920) 236-5050
fax (920) 236-5084
I~
:E:':R~;E~~O~F ~QJR
HV AC PERMIT APPLICA1'fIGN D~Y~_~~)~~~~: _
All informatioD aftcrbo1d c:atc&oriciIliiiSiQ~'vlif[~! ICt::::' ULVJ.::'hON
Incomplete appUc:atiODSwill DOt be processed.
· Application(s) and fee(s) can be brought to City Hall. Room 20S ormailcd to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commcneinl work without pc:nnit(s) win result in fees being doubled or S I 00.00 ph~
nonnal permit fee, which ever is greater.
OR
~~ ::: a;af:"~ t~~:t;:;~~:~~~r:~~~"a:l":o~1' '::e:::"Hu At!colI'" Sv!'e~ (,"d "ave qdepuate (lI"d! cited I
DATE \0- 2Jo - C7
JOB ADDRESS ':LOOt:;, HI TLJ+ IS L L.-
OWNER LA(L.-fZ.:'/ 2, ~ IL.
CONTRACTOR H:M AIR, INC. 6122 COON'l'Y ROAD H, WINNECONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK fa ALL APPLICABLE
USE CATEGORY
~Single Family ODuplex OMulti-Family
ORental
DCommercial
DIndustrial
FUEL
0;C;lS
DOH
DElectric DSolid
DSolar
SYSTEM
ONew
o Other
ARcplacc
TYPE.. If,
)Qforced A1r DRadiant DSteam r-AlC OVent OElcctrie OHot Water OSupp1.0Con. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER. SIZE & MANUFACTURER
Note: All chimneys shall be sized per-the Bro'. beiDa vCDtcd.
PVc.
J,SDin:ct Vent
ONot Applicable
OOther Value
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OCbimncy B
OExistin;
OVariable
OOther
--
DESCRIPTION OF ALL WORK BEING DONE CAeJ2.\E.e. S'3k\Jf::::;CJ~ ~iCCO e,TU
\='0Qj\JAG~ :t1"H\e~~\eACO? \.5 Tot-.) lS\OCJO BTb A. { c.,
r::f_~ 0 c-'
V ALUE (JDcludin~ labor and all matcrlatsotDc1udlDC Ucbt fixtures) S O~) _
~ $~4~o
o ELECTRICAL CONTRACTOR SEL~Ae...- ~ $(EIectric Iuta11aUOD VcrUkaUOD form anacbed(U Ilcplacan
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