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HomeMy WebLinkAbout0134148-HVAC (furnace)I~ CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address Contractor Fuel System Chimney Type Heat Loss BTU Rate Use/Nature ~ of Work No 134148 1910 GEORGIA ST Owner ROSEMARY RUPPEL Create Date 11/21/2008 _ MCM AIR INC _ Category 500 -Residential-Heating & Ventilating Plan / Gas _._ - Oil - -- - 1 Electric Solar ~- _ Solid ^_New ~ ^/ Replace ~ ^ Other ~ / Forced Air Radiant ____ ' Steam A/C ~ ~ Vent ~~ Electric ___ Hot Water I Suppl. Con. Bumer --- Chimney A Chimney 6 Direct Vent Not Applicable As Approved __ _ Existing - Not Applicable - ~ Value As Per Plan _ ---- Variable -- Other Value 60,000 Fees: Valuation Issued By: Plan Approval $0.00 ^ Permit Voided Date 11/21/2008 Parcel Id # 1408601400 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. _-_ _- i Permit Fee Paid $50.50 5~. `J~9 (:IZ)/ oTOSh1CQSh Divisioa of Iaspcctioa Services P.O. Box 1130 Oshkos>~ WI 54903-1130 Pboae(920)236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION Al] iaformatioa after bold eateaories must be provided. Iacotaplete tppliuti0ns will sot be processed. Application(s) and fee(s) can be brought to City Hall. R,ootn 205 or mailed to Inspection Services. PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) wiU trsult in foes being doublod or 5100.00 plu: ao:tYSal permit fee, which curt is greater. OR _ /ee Ateount Sv~terw and hove adeovate jr.nd~ check ~ u_ you want rnra n-oee~asa Nr~ovslr vov- aeeottx- DATE ~ + ` ~-~ T JOB ADDRESS_ l ~ t © ~ ~ ©~i` O(j q. cS ~ _ .~ CONTRACTOR ~S AIR, INC. 6122 00[JNrY RAAD M, FIINNDOONNE, WI 54986 -4402 FAX 582-0136 CHECK ®ALL APPLICABLE USE CATEGORY '~S,ingle Family ODuplex OMulti-Family ~1Rental OCommercia] OIndustria] • FUEL Gas OElectric OSolid SYSTEM ONew 1~Reptacc OOiI OSolar pOt}1Q TYPE , ~orccd Aii ORadiant OStcam OA/C OVrnt gEloctric OHot Water OSuppl.OCon. Burns ~ ~,. ~~ ~ IS CHII~2NEY BEING LINED ONo ~LYcs -LINER SIZE ~ ~~ & M.ANUFAC'IURF~t ~®~ ~ ~ Note: All chimneys shall be sized per~the BTU's beiaa veatod. CHIIriNEY TYPE OChimney A OCbis:aiey B ODiroct vent ~Otha ~ ~ C' HEAT LOSS OAs Approved ,Existing ONot Applicable BTU RATE OAs Pa Plan j~,Yarisble OOther Vslue D~E^^SCRInnY,'(TION OF ALL WORK BEING DONE ~ VL ~ Q ~ ~Q~ fi'r` 1 ~. VALUE (Includin8 labor sad all taatcrlab lncludlat li~6t tlziwa) S r~~ Q ~~ ELECTRICAL CONTRACTOR ~ 2C~-1~ c~Y~ ~ ~e lastaWtloo Veritlwtloo form attaeeed(UReplaoe+n Irruell~(on y/anw~i~q~ba~ agWy.,a„~ jAal/ br Io.r by f:nas.o • ~~ ~+w~ i~~ 'Elarb'Ia Ini Vari~aa ~.~ om~ac~d to ~.~m..L.cas Sa~sr+~odc ma ~ ~s otth~ ~roticc~nsiztt oL (c~+clc0a~ of ths~s o3"~YocY~ .. .~„ ~aoo~asctiaaaaa~w~mt ~~mdloclUC.~a6sa~z ~~~+~lbtt+plisaa~as 1ast~ittLttacpowrrvcat~d ~~~'t~MC~big3t+LS8a~c.a~utToas to .o•~.a~,~ Eatrsara C~cbL~~ ~~~ . uatK 2~vr S~cv~. .._ ~a~iocaiwd~~~saim~tota~s~a~y~d ___.. Izw-ae~~ ~oi~ ~,~,~,p~of~Cjo taadiv~ ~ s~cst ~css astas i~div~ul ty~- S~i1~~S~Cet ~1~~~ secs aLo43ati oatkts. ._.. Other ~~ruasattru~cu A• 1~uby~~ave~y~~+o~c~lb~~ectbtm~db7sa~m~1~~~ ~,~qy and IIu~csvcd~r ~~ / albs 6oa~ Satt,~g~1=aq ud~ Does m~