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0151381 - HVAC (replace furnace0
C.) CITY OF OSHKOSH No 151381 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2359 ALLERTON DR Owner RICHARD/SUSAN HOPPE Create Date 07/25/2012 Contractor MCM AIR INC Category 502-Residential-Both Plan Inspector Nicole Krahn Fuel F Gas j Oil I Electric I Solar Solid System n New {] Replace n Other Lij Forced Air _I Radiant u Steam H A/C Li Vent Li Electric u Hot Water I J Suppl. J Con.Burner Chimney Type p Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved • Existing O Not Applicable Value BTU Rate p As Per Plan O Variable • Other Value Use/Nature SFR/REPLACE FURANCE 60,000 BTU FURANCE AND 2 TON A/C, ELECTRICIAN IS SECKAR ELECTRIC **check#23167 of Work Fees: Valuation $5,300.00 Plan Approval $0.00 Permit Fee Paid $89.50 Issued By:3n1(A) Date 07/25/2012 ❑ Permit Voided I Parcel Id#1316660000 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 (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. City of Oshkosh Division of Inspection Services P.O, Box 1130 V c,�q,5b Oshi:osh,WI 54 903.1 l 30 Phone(920)236-5050 Fax (920)236-5084 Of-OJ� Ov'4EWATES HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account fl ** Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 7 i-7'42. JOB ADDRESS A.35 1 /1 /(ep-6:5 OWNER ehara }, e CONTRACTOR MCM AIR, INC. 6122t:1YFZDM CHECK Ed ALL APPLICABLE WINNECONNE, WI 54986 920-582-4402 UV CATEGORY Single Family ❑Duplex DMulti-Family- ❑Rental. OCommercial ❑Industrial FUEL iarias ['Electric ['Solid SYSTEM ['New 21(eplace DOiI DSotar DOther TYKE Diced Air ['Radiant OSteam ZrA/C OVent ©Electric ©Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED ENo['Yes -LINER SIZE &MANUFACTURER Flex L Note:All chimneys shall be sized per the B'TU's being vented. CHIMNEY TYPE OChimney A OChimney B ,0 7irect Vent DOther HEAT LOSS DAs Approved ,�ttxisting DNot Applicable • BTU RATE DAs Per Plan ['Variable DOther Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE We-P/8de. ft-9t'7 d &UL h (-)a rrf e r` a ,,t / es.1.4 7(zotee__ �v•^,-� 6049e, E3 rGL. �5rr<er, l or,°l3 A Tor► (4-14/? top (Including labor and materials) $5T ,tAa ELECTRICAL CONTRACTOR(for projects not requiring an BY Form) Seckar Electric