HomeMy WebLinkAbout0127691-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1905 DOEMEL ST
CITY OF OSHKOSH
No
127691
HV AC PERMIT - APPLICATION AND RECORD
Owner MARK W/MARGARET M TUSHAR
Create Date 11/06/2007
Fuel l.{J Gas 0:: Oil LLElectric U SolaE --l U.Sol~____~J
System OJ-l~w J [7] ~~plac.~~____..__J D Other
O!orced7Jr] l~LRa~,,-~~___J 0 St~~~~~:~~~ D~~C~:-~~~:=J D:~el1f-=....~.
ffilectric ~ D~-ROtwater-l U~S~_E-E-I~==.=] D5~~~~u!~erJ
Chimney Type DChi!!1!1-~y A _==__O.-C6imney B -==.=.:~Q-=~r~cty~(-~=====.-~~.~pEIj~~a~~E~=:::]
Heat Loss IT~~~c[-=-===__.=~~=..-=-===OJ..Jot APe1icabI~==~] Value ---------
BTU Rate [IAs Per Plan-------=. Variable Q_Other=-===_~ Value 105:000
MCM AIR INC
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
Use/Nature ~FR /INSTALL BOILER, EIV SIGNED BY SECKAR ELECTRIC **check #19576
of Work I
-----_.._~--_._---~
i
I
I
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L
$0.00
Permit Fee Paid
$64.00
Fees: Valuatiol{. $3,600.00
Issued By: (f(ffi
Plan Approval
Date 11/06/2007
o Permit Void~
Parcelld # 1514812600
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.
G,<t-
"""J.W. ....................
DivisioD ofInspcction Services
P.O. Box 1130
Oshkosh, Wl 54903- t t 30
Pboue(920)236-S0S0
Fax (920) 236-S084
RECEIVED
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OSQLR
NOV 06 2007
DEPARTMENT OF
HVAC PERMl-f~~f{C~~~E~T
All information .&;~~~tcloncl~ttWJstO~:w.ION
1Dcomp1cte app1icationswiU DOt be processed.
. Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to lnspcction Services, PO Box 1128,
Oshkosh WI 54903-1128. Commcncinc work without pcnnit(s) win result in fees being doubled or S 1 00.00 pllr
nonnal permit fee, which ever is greater. .
OR .
~~ ::: ~:"~ t~~=t;::;~~::~r:~~~:;~":o~,. t::c:::~~ft:5U At!e~u"t Sy~tc'" a"d havc adcQuate (u"ds cited I
/9D5 DATE \ '\ - 5 - 07
JOB ADDRESS'Ee~ \) Ce. 'N\ e.. \ ~t
OWNER M ex" \<. "\ ~S ~a r-
CONTRACfOR l'Oi AIR, INC. 6122 COON1"{ RC>>J) H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK ~ ALL APPLICABLE
USE CATEGORY
)B$ingle Family ODuplex OMulti-Family
ORental
OCommcrcial
OIndustrial
FUEL
j&1Gas
OOil
OElectric OSolid
OSolar
SYSTEM
ONew
OOther
~eplacc
TYPE. "
DForced Air }g1Radiant OSteam DAlC DVent OElcctric CHot Water CSupp1.CCon. Burner
IS CHIMNEY BEING LINED tlNo DYes - LINER. SIZE
Note:: All chimneys shall be siz.ed per.the Bro', beiDa vCD1Cd.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
OAs Approved
OAs Per Plan
OCbimncy B
'fSExistini
t2Variable
ODircct Vent OOther
ONot Applicable
OOther Value
" DESCRWION OF ALL ~ORK BEING DO~ \ V\ ~T Q \ \ C/O- ~ ~ '\ e I(' B \1\11 A A NlD5
'aD \ \ e.\(' \ 0 ~. 0C) 0 'g \ U
~'C
V ALUE (IDc:1udin~ labor and aU matertab'lncludlnc llcbt flxtures) S '2., (Q () 0 --
QB ~EIectric IDJta11atioD VerUkatiOD fOnD anacbcd(UR~
~bu..u"loIl o/~~ UwJl"*-""/~
ELECTRICAL CONTRACTOR
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R'ECEIVED
NOV 06 2007
DEPARTMENT OF
. , COMMUNITY'DEVELOPMENT
E1edrlo'~ \!~tI~ INSPECTION'SERVICES DIVISION
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