HomeMy WebLinkAbout0127920-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 1218 OHIO ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION A~D RECORD
No
127920
Owner TROY A KASPER/MEGHANN 0 SALES
Create Date 11/21/2007
System
l{j Gas __ --:::J
o New
U Forced Air
I I Electric
Chimney Type 0 Chimney A
Category 500 - Residential-Heating~~~~.
.~ U Electric U Solar I
Plan
Contractor
MCM AIR INC
~-_._--
Fuel
UOil
p. Solid _-=~
O_Q!'1~~___~__ ___J
o V~.nt -~:==J
Heat Loss
o As Approved
~ Per Plan
U Radiant
~ Hot Water
() Chimney B
. Existing
. Variable
.~
l
o Replace
U Steam ___J
U Suppl. J
~
U_~C______ j
DCon-:-Burrl.~
~ Direct Vent
. Not Applicable
J
BTU Rate
() Not Applicable
() Other ==:J
Value
Value _____~Q!QQ.q
Use/Nature ISFR 1 REPLACE BOILER, EIV SIGNED BY SECKAR ELECTRIC CO INC **check #19604
of Work i
.-----~----l
,
.._.. .__.1
Fees: Valuation $3,300.00
Issued By: ~~
Plan Approval ~_.___~q.OO
Permit Fee Paid _.________J~9~?_q
Date 11/21/2007
~~~rmit Voided I
Parcelld # 1301500000
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
AgenUOwner
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.
~ -'} ..,..~ ..... ...,...............
DivisioD otlDspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbooe (920) 236-S0S0
Fax (920) 236-S084
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HVAC PERMIT APPLICATION
AU informatioD after bold t&te&orics must be provided.
Incomplete app1icatiouswW DOt be processed.
JOB ADDRESS ) Q, \ % (C) 'h ~ (3 S-t
OWNER l\j\ 1 \z ~ 1- N' E:-<j Y\ Cl Y\ Y\ V Q s:. p e Y'
CONTRACTOR }oOi AIR, INC. 6122 CClONT'i ROAD H, WINNECONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK itS ALL APPLICABLE
USE CATEGORY
QSingle Family ODuplex OMulti-Family
ORental
DCommercial
DIndustrial
FUEL
I1S1Gas
OOil
OElectric OSolid
OSolar
SYSTEM
ONew
OOthe::
!SReplace
TYPE. .
DForced Ail ORadiant OSteam DAle OVcnt OElcctric OOot Water DSuppl.DCon. Burne::
IS CHIMNEY BEING LINED ~o DYes - LINER. SIZE
Note: All chimneys shall be sized per.the Broo, beiDa vCDI.Cd.
& MANUFACTURER
"
CHIMNEY TYPE OChimney A OChimncy B ODircct Vent E30ther
REA T LOSS OAs Approved mExiltinS ONot Applicable
BTU RATE OAs Per Plan t3Vuiable DOthcr Value
DESCRIPTION OHLL WORK BEING DONE \Z e ~ \ G\ e. e. ~o (\ e- y- \u 1 t ~
8 Lt 'f~ \\QW\;to 5 /-I NT EI 2 \ _ C') (!; () _ ~T \)
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w
V ALUE (IDcludln~ labor and all matertals'IDclUdlDC UCbt llxtura) S 3 ~~ c () <-
. ELECTRICAL CONTRACTOR
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