HomeMy WebLinkAbout0127690-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 2407 HARRISON ST
CITY OF OSHKOSH
No
127690
HV AC PERMIT - APPLICATION AND RECORD
Owner JEANIE A KLINKER
Create Date 11/06/2007
Contractor
MCM AIR INC
Category 500 - Residential-Heating & Ventilating
Plan
O]:~~_==J
Fuel l~ Gas UOil I U Electric~ rnOJar-~
System 0 New J [?J Replace_~~~~
~.9rced Air J URadiant ___~J 0_- St~_rn~=] D~~~~~-~=]
,r", - D ' 0 1 D.c.. -.C)_n. .-s.u. rn.e._-r_ 1
uJ:~~--==--j "" ~-HolYVat~f~-j ."~~PJ)r~~--==:j " ""-"""-"" """ """""
Chimney Type O_Ch il!'~_~i~__=._Cl_c:_hLm_n~y_~_::- =:=O:pJrElc('V'Elnt:=:-u: ::-_-':ti~~Apelica~I~-"
Heat Loss D:A~:~ep~"ea=====:II=ExisJ0g:=-:=_::::=:O:}!~tEppTli~~j~=:=:=:::_] Value
BTU Rate D--AsPerPian----~--_._~=="====II:QI~===-===] Value
Use/Nature ~FR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC ..check #19577
of Work I
i
I
I
Other
DY:eri(~~~-
_______~,QO_O
Fees: Valuati<?Jl $3,500.00
Issued BY:' "\
om,,)
Plan Approval
$0.00
Permit Fee Paid
----~-(g-~
Date 11/06/2007
o Permit Voided :
____~_.---------.-J
Parcelld # 1519600205
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 or~on Services
P.O. Box 1130
Oshkosh, WI S4903-1130
Pbooe (920) 236-S0S0
Fax (920) 236-S084
RECEI
NOV 06 20
HV AC PERMIT APPLICA TIOMEPARTMENT OF
All information after bold c:atclories must w:~~ DEVELOPMENT
lDeompletc appUc:ationswUl DOt be ~e:t:ION SERVICES DIVISION
· App1ication(s) and fee(s) can be brought to City Hall. Room 20Sormailcd to lnspcction Services, PO Box 1128,
Oshkosh WI 54903-1128. Commcneins work witboutpcnnit(s) will result in fees being doubled or S100.00 p1~
nonna1 permit fee, which ever is greater. '
OR ,
~~ ::: :::,,: t~~:r;:::::~~~r:~:~tlQ~ln:o~,. r::e::~,tf:te AtfcotlJtr sv~re", QJtd have ad,eallcre fll"d~ cited I
DATE ) t - 1 - ~ '7
'U '
JOB ADDRESS 2, 4- C) t H C\,,, r \ So Y) s; t
OWNER J ~Q Y\~ ~ K \ ~ Y\ \z.\:. X'
CON'l'RACfOR l-Oi AIR, INC. 6122 COONTY ROAD M, WINNECONNE, WI 54986
~6~-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
l&1Single Family ODup1ex OMu1ti-Family
ORental
OCommercial
DIndustrial
FUEL
QlGas
DOil
OElectric OSolid
OSolat
SYSTEM
DNew
OOther
!;&Replace
TYPE. .
~orced All DRadiant DSteam DAlC DVent OElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - I..lNER. SIZE
Note: All chimneys shan be sized per.the Bro', beiDa vCDtCd.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
o As Per Plan
OCbimncy B
GJExistina
E;aVariable
ODin:ct Vent O!.\Other?\J ~
ONot Applicable
nOther Value
--
DESCRIPTION OF ALL WORK BEING DONE
M t OtSO ~~ (!!)OO
,e
*e
V ALUE (Inc:1udln~ labor and all materiab'tncludlnc Ucbt Ilxtures) S 3 g 0 D-
-
, ELECTRICAL CONTRAcrOR
QB 6{Electric lutaUatioD VcrUkatioD fOnD anacbcd(U Ilcp&accnl
EJ.ariaJ w..u.tlolt of~ ~ sA.JI b... by'~
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. NOV 06 2007
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DEPARTMENT OF
("'(")~~1b!~J:W: Be vELOPMENT
INSPECTION SERVICES DIVISION
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