HomeMy WebLinkAbout0151606 - HVAC (new furnace) 0 CITY OF OSHKOSH No 151606
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 419 BOWEN ST Owner HABITAT FOR HUMANITY OF OSHKOSH II Create Date 05/30/2012
Contractor MCM AIR INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel 11 Gas 1 I=E9ii U Electric I Solar Solid
System D New I n Replace 1 ❑ Other
,21_f Forced Air 7 ❑ Radiant _J Steam u A/C ❑ Vent
0 Electric Hot Water
-- ❑ Suppl. 1 J Con.Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other
Value
Use/Nature NSFR/INSTALL NEW 60,000 BTU FURNACE AND 2 TON A/C FOR NEW HOME **check#23194
of Work
Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid $82.00
Issued By:
Date 08/09/2012
❑ Permit Voided I Parcel Id#1100070000
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.
Page 1 of 1
Cit of Osh kosh
Division of inspection Services
P 0. Box 113(i
Oshkosh,Wi 54903-i 1.30
.1.1171111111116F1114)
Phone r9l20i 2.36-5050
fax (920)236-5084 CYHKOf H
HVAC PERMIT APPLICATION
Ali information after bold categories must be provided.
incomplete applications ibi not be processed.
• Application(s)and fee(s)can be brough1 to('it) Flail,Room 205 or mailed to Inspection Services„K)Box 1128,
Oshkosh Virl 54903-1128. Commencing sorb without permit(s)will result in fees being doubled or:Sl00.00 plus the
normal permit fee, which ever is greater.
OR
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it a /Ort tnt Pertn,.! lee A Ccount Sy.stcm titnit ade v e Ito hecA (lore
I! 1 want IILS' vour a ceounf 0
**Advisory-For applicable projects,an Electrical Installation Verification(EW)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 EW when such is required,will not be
processed for Permit Issuance and will be returned for completion.
DATE 4,7
JOB ADDRESS 1/14 &eV-61? '....C•••"1.-
•
OWNER th‘irnetr2z-z1. .
CONTRACTOR MCM Al ft INC.
I Y MD M
WINNECONNE, WI 54986
CH ECK A.LL APPLICABLE.
920-582-4402
USE CATEGORY
1Wingle lamily ODuplex DRental DComtnercial Dlndustrial
tEL (...EfGas DElcetric OSolid SYSTEM ...1?(1ew ORepIacc
O011 Otiolar ClOther
rkyr
ororced Air OR.adiant DSteam 2KiC, OVent 0Flectrie Ditot Wat,:r 0Suppl. OCon,Burner
IS CHIMNEY BEING El:NEI-Pi&.0Yes -LINER Sin &MANLTACTUREk Flex L
Note:All chinme:, shad he sizxd per the BTU's beim!vented,
CHIMNEY TYPE OChimney A 0Chirnney B eer6irect Vent 0(Hher
HEAT LOSS DAs Approved (DExistini aslot Applicable
BTU RATE DAs Per than DVariable DOther Value
DESCRIPTION I SCOPE OF MA VOW:,BEING DONE
CQ )co Ta___
_ , „.
VALUE(lncluding labor and materials) - —
ELECTRICAL CONTRACTOR tfor projects not requiring an ER'Form) Seckar Electric
http://www.pdfescape.com/open/RadPdf.axd?rt=c&dk=00BC7FBD 1 ZT 1 OZANON4F0 5 7ZB 1/13/12
WARD: 11 DATE: o?s /v.-
DHL#:
LOCATION: ///q D cve /2
WORK DONE: e4e 4e044 £v Thp 0/4-- TAP ye- S
4 °.
or CUT-IN
SIZE: 1"
CONTRACTOR:
wa,4'y sue/ /4
INV#: QTY: PARTS:
.s 3 ea x I cover er^ e or' SAvp MEASUREMENTS:
Sao// � t' wirer Cur fvr � 173//2ofatfiasklyTti
.58-001_ /y ' t F 7" rixe►4 ' 2'G'' F of w
Ss0l7 hox 6ve-/
PERMIT#: 4t a
BLACKDIRT: YES NO
CONCRETE: YES 0
DETAILS: -
GRAVEL: /70 WORKERS:A/„/A/f2
REMARKS:
Pecm`A- aa3a1-1
�� �0 \bciLoo u��
WATER DISTRIBUTION JOB REPORT
WARD: // !N DATE: yo1.57/Z
DHL#:
TIME OF LEAK:
LOCATION: ill/ 6.0/41e/1- #of GALLONS LOST:
WORK DONE: e m-T e F) %!/y Le* p!' HYDT#:
Itio,Yer .5crvice- oFf o/" %:' c�,k__ VALVE#:
SIZE:
MAKE:
VALVE TURNED
SIZE& MAKE TURNS
V#:
V#:
INV#: QTY: PARTS: V#:
Lc/` ,s V#:
V#:
V#:
MEASUREMENTS:
/1///04/101_3 I%Line
14 '31' EaIArG,".
PERMIT: /7 U
REMARKS: BLACK DIRT: YES NO
REPAIRS REQUIRED
APRON TYPE:
CONCRETE
ASPHALT/HOT MIX
ASPHALT/COLD PATCH n
STREET SURFACE:
CONCRETE
GRAVEL: I" ASPHALT
ASPHALT/CONCRETE
WORKERS: %O #of SIDEWALK SQUARES
�VTO �b01-1b9CQ
CITY HALL
215 Church Avenue
P.O.Box 1130
Oshkosh,Wisconsin
54903-1130 City of Oshkosh
IHKOIH CITY OF OSHKOSH WATER DISTRIBUTION CENTER
O
DISCONTINUED SERVICE FROM WATER MAIN
DATE ADDRESS WORKERS
7/25/2012 419 Bowen St mm
TYPE SIZE MEASUREMENTS
Lead 3/4" 14' 10" N of S lot line- 16'3" E of E property line
Copper
Iron
REMARKS: Cut off 3/4" lead water service off of 6" main
No parts
No permit
Bill Genz - Superintendent
Water Distribution Center
0