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HomeMy WebLinkAbout0132734-HVAC (furnace & a/c)CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2573 OREGON ST Owner EUGENE H MILLER Contractor MCM AIR INC No 132734 Create Date 09/08/2008 Plan Fuel / Gas Oil Electric ~ Solar r Solid System ^ New ~ ^/ Replace _ ~ ^ Other / Forced Air Radiant Steam / A/C Vent Electric Hot Water Suppl. ~ Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other ~ Value Use/Nature FR /REPLACE FURNACE AND AlC, EIV SIGNED BY SECKAR ELECTRIC *'check #20366 of Work Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Issued By: ~1~-^ Date 09/08/2008 ^ Permit Voided Parcel Id # 1413970000 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 applipnt to contact the easement holder(s) and to secure any necessary approvals before starling 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 (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. Category 502 -Residential-Both i0o- DIV1=l00 Of IaSpeCCOA SCrv1Ct5 P.O. Box 113 9 0 ~~~IVED Fax (920)236-5084 SEP 0 8 2008 N M WA DEPARTMENT OF HVAC PERMIT APPLICATION COMMUNITY DEVELORRI~rasatioa attar bold cate~oria must be provided. INSPECTION SERVICES DIVISd®fld~lete applications wrill sot be processed. Application(s) and fcc(s) can be brou8ltt to City Hsil, Room 205 or mailod t0 Inspection Scrviccs, PO Box 1128, Oshkosh WI 54903.1128. Commencin8 work without pezmit(s) will ruult in feu bring doublcd or 5100.00 plti normal pcrmit fcc, which curt is grcater. OR JOB ADDRESS ~f DATE R-5- ©~' CONTRACTOR ~! AIR, INC. 6122 COiJATrY RA~AD M, WINNDOONNE, WI 54986 -4402 FAX 582-0136 CHECK ®ALL APPLICABLE USE CATEGORY 'I~inglc Family DDuplcx DMulti-Family ORcntal OCoinmcrcia] Dindustrial FUEL Gas DElcctric OSolid SYSTEM • ONcw 1~cptacc DOiI DSolar DOtha TYPE forced Air DRadiant DStcam ~A/C DVcnt gElectric Hot Wster OSuppl.OCon. Burns ~ a ~,~ ~, IS CHINII+IEY BEING LINED DNo ~a • I1NIIt SIZE L~- & MAN[JFAC:TtJRER ~be ~ e ~' Note: All chimneys shall be sized per•the BTU's bcia; veatod. CHIIVQiEY TYPE HEAT LOSS BTU RATE DESCRIPTION c~Q.4DD OChimney A DG'hit:auy B ^As Approved ~acistia~ O As Per Plan ~Yariablc ALL WORK BEING DONE ur~a~ F; d~ 2~,4.~~ DDiroct Vcnt I~Other Q v ~' DNot Applicablc DOtheT Value 33 ~_ ~~ - VALUE (Ioc-udin8 labor and all mattrlals~locludla~ 11~bt tlztwa) S ~ ~©©a ©© ELECTRICAL CONTRACTOR~E'-C~ QY' ~ ~LNctric lastaWtloo Vcriflntloa corm attac6ed(U Rcpl~ce+ Ebc~ital lwt~eUaUo~ e/an~laotw~eu puip..ru ~aJJ br /o.r by f.ceaN REC~IV ~.,~ "' E 3uc~r~,. ~"~" SEP 0 8 2008 ~oa..iw o~es~.. 1170 DEPARTMENT OF CONIMUNIIY DEVELOPMENT INSPECTION SERVICES DIVISION Electric In:tallation Verlflcstioa I (we} ~~o .--vi ~otsu} (gyp Cow) have been contractod to perform alb ~Stellsiioa wodc for ' (~ (Nuns otp~~y contracted to) at the following addreu: ~ 5 ? ~ ~ ~' ~' 4 ©4'1. J~ work will be Iha autue of the work coasiits oi: (ChecY Oat orDe:cstbe.ths Nature o~lNock} ._._. Reooaasotion or new circuit foc replant $~~ p~ sndJor A1C Condsastr .__ Recoaasotlon or new circuit for r~eplwtatat g,~Q w~ . water heats. Hsater at power vented .~. R.ocoonaection of tha Srnrict ~~ Cabl41!~ats< ~ to reoojucla sad h~E ~~ due to iidiAg / soffit ~~latJoa. Note: New Service Eatrsace Gblu will regnirs a ~~ pmt, ._. Recosmcetioo a new circuit for the rsPlactmant of other perrniae~y wired applisace: / IIxturp. New circuit four tht addition of A/~C to sa tbdivldual d~w?!t~ u~t (house or tlu individual rystecat in a ttuplsx or eoodomtiniym~ iaclyding required ae:vice eleotrioal outlet. __. Other The value otthit work is S . 0 O I heroby verily this work will, bs pattoantd by as employtt ostbia company ~ ituth~r the nconnxtioa / inst~on will be doer in ~o~plfanct wjth ~~~ anti F1ecaic co~dr requircmeats. • ~ . 1e s~,e ~- ~ - a ~ (si of compmy om~a~ (pr;at zsamt of Officer) (Doc) (emu} " ,~ NNECO~IXIg $~