HomeMy WebLinkAbout2007-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1915 WALNUT ST
CITY OF OSHKOSH
No
127537
HV AC PERMIT - APPLICATION AND RECORD
Owner LARRY UELLEN HOFELDT
Create Date 10/29/2007
Contractor MCM AIR INC Category 500-=-.Besic:LeI1tial-_Heating_~_\!~!1l!@1~"-g_ Plan___________.
Fuel l{J Gas == 0][ U EIEl.<::tric::==:J W.olar___~J D_~~~_===]
System 0 New ------.J 0 R~___._.J rrg!~~!___________j
~~orced Air Ll~~ U Steam I ~~___-:=J ~nt--=:J
U E~ctriCJ U Hot Water I 0]lPEi-..._---.J ~n. Burner l
Chimney Type O==~hTiTIi1ey A _ .=:O.....Q.h~~_.:.::===TIDire~IvenL__=.__._l'!~"AeE~cable._=--l
Heat Loss IT~f\pprovesl__~.JL~xisting_.====___ O-t'rQI:~r:>Plrcable..===:==:] Value__________
BTU Rate D_.~s.!:>er Plan=-===]I_\J'clri~~~='==:-======:=O=Qfhe.r=-==:-.: Value 80,000
Use/Natu re IS-FRTRePlace furnace:-E IV - providedbySeckar-ElectrE-- ....
of Work I
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Fees: Valuation n_____...!:s~OO.OO
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Plan Approval
$0.00
Permit Fee Paid __._-----.!~.50
Date 10/29/2007
Issued By:
o Permit Voided I
------_.._--~
Parcelld # 1218430000
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.
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, Division oflnspcetion Services
P.O. Box 1130
Oshkosh. WI S4903.1130
Pbooe(920) 236-5050
Fax (920) 236-5084
53.50
~
OBQtR
HVAC PERMIT APPLICATION
All wormatioD after bold catclorics must be provided.
Incomplete appUcatiODSwUl DOt be ptOCeSSe<1.
· Application(s) and fee(s) can be brought to City Hall. Room 20S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903.1128. CommcncinC work without pennit(s) win result in fees being doubled or SlOO.OO plll!
normal permit fee, which ever is greater.
OR
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DATEJ (; -;LS -0 7
JOB ADDRESS i q l 5" \At Q \ V\t\..t t ~ t
OWNER l&N''f Y i-\ 0'~e.\d:t
CONTRACTOR ~ AIR, INC. 6122 COONTY ROAD H, WINNECONNE, WI 54986
~U~-4402 FAX 582-0136
CHECK Et! ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
ORental
DCommercial
Olndustrial
FUEL
'~Gas
DOi!
OElectric OSolid
o Solar
SYSTEM
ONew
DOtha
t9Rc:place
TYPE. .
f1Forced Air ORadiant OSteam DAlC OVent OElectric OHot Water OSuppl.OCon. Burner
--
IS CHIMNEY BEING LINED }i1No DYes - LINER. SIZE
Note: All chimneys sball be sized per.the Bro'. beiDa vCDlCd.
CHIMNEY TYPE DChimney A OChimncy B ODircct Vent BOther ~ \J C:"
REA T LOSS OAs Approved lJi\Existina eNot Applicable
BTU RATE OAs Per Plan 6lVariable OOther Valuc
DESCRIPTION OF ALL WORK BEING DONE "R<::-\J\Q.(I,e-~ tU'r V\QC-e. wI CaN'r-ter
5~M\lBO~o &0 (9(50 B"T'U "~LLY-y\Qc'~.
,
& MANUF AC1URE.R.
#fib'
V ALUE (Includin~ labor and .n matcrlals"IDcludlDC llCbt nxtures) S :J. q (!)() c_
. ELECTRICAL CONTRACTOR
QR lid E1ectric llUtal1atSoD YuUkatSoD form .nacbcd(1lk~
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OCT 2 9 2007
DEPARTtvlENT OF
COMMUNITY OEVEL()PMENT
INSPECTION SERVICES DIVISION
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