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HomeMy WebLinkAbout0132540-HVAC (boiler)/~"~ CITY OF OSHKOSH No 132540 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATE R Job Address 1203 OSHKOSH AVE Owner AUGUST A/E J KOHLHOFF Create Date 08/27/2008 Contractor MCM AIR INC Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas r Oil Electric Solar ~ Solid System ^ New ~ ^/ Replace ~ ^ Other Forced Air Radiant Steam A/C Vent Electric / Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimne B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature of Work >FR /REPLACE BOILER, EIV SIGNED BY SECKAR ELECTRIC **debt acct Fees: Valuation $4,950.00 Plan Approval _ $0.00 Permit Fee Paid $85.00 Issued By: ~~ Date 08/27/2008 ^ Permit Voided Parcel Id # 1608450000 In the performance of this work, I agree to pertorm 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. SE'S Divisiom of IaspectioA Services P.O. Box 1130 OshkQS1~ WI 54903-1130 Pbone(920)236-SOSO Fax (920) 236-5084 RECE HVAC PERMIT APPLICATION AUG 2 7 2008 All information alto bold eate~ocies must be provided. Incomplete applications will not be processed. DEPART~EVEL®PMENT COMMUNITY P CfION.SERVICES DIVISION Application(s) and fee(s) can be brought to City Hall, Room 205 or mail~Co inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will r+csult in fees being doubled or 5100.00 plu: normal permit fee, which ever is greater. . OR JOB ADDRESS ~ v~ DATE g'~~~' ~~' CONTRACTOR tom! AIR, INC. 6122 CO[JNI'Y ROAD H, WINNDOONNE, WI 54986 -4402 FAX 582-0136 CHECK ®ALL APPLICABLE USE CATEGORY ~inglc Family ODuplcx ^Multi-Family ORental OCommcrcial OIndustrial • IFUEL 1~as l7Elcctric OSolid SYSTEM , ONcw ~Rcplacc • OOiI OSo!ar C10ther TYPE . OForced Air ORadiant DStcam DA/C OVent gElectric ~Fiot Water OSuppl.OCon. Burns IS CHINTNEY BEING LINED ~A1o DYcs - LINIIt SIZE & MANUFACTURER Note: All chimneys shall be sized per•the BTU's beia~ veaiod. CE~iEY TYPE OChimney A OChi:raney B ODiroct Vent ;@aOther HEAT LOSS OAs Approved 18~Existing ONot Applicable BTU RATE OAs Pa Plan .Variable OOther Value i /~ DESCRIPTION OF ALL WORK BEING DONE c IG~ r -• Cam r ear ~A i ~ 1 ~ p VALUE (Includin8 tabor and all matcriab~lndudlnLtlBbt Artures) S ~-15© ELECTRICAL CONTRACTOR ~ C~ C3z QR ~Elaetrle IastaWtios Veritlcatloo form attaceed(1t Rcptax Ebaric~! 4uiellatlo~ oJ~sr/,r,~Lot,wat priy..r,.i aAd! br Ia.r br f:c~u. • ~ . f .• - .. sue.; ~~ otth~ wcaic - --_..,..,,~~ -- ~a~ir~~i3i++t~itisac~dro~I1~J~C. ~dn~ ~~~~~oosto ~,-ca~ os~cmmo~c,~ca~ ._.., o~ ~~'°i~~cis •0~ m.~-rioo a~ms,v~o~~ub~y~~ ~. aar~bs 6mr is c~p"~ ~ ~v~, +~2lacaia ooe; ~ ~ . ~