HomeMy WebLinkAbout0106560-HVAC
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
106560
HVAC PERMIT - APPLICATION AND RECORD
Job Address 3885 SHOREBIRD CT
Owner
ANDREW L/MARGAR PERRIE
Create Date 01/14/2004
Contractor MCM AIR INC
1,(1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss 18 As Approved () Existing
BTU Rate 18 As Per Plan () Variable
Use/Nature
of Work
Category 502 - Residential-Both
1 1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1 1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
() Direct Vent
8 Not Applicable
() Not Applicable
() Other
Value
0
Value
NSFR/ INSTALL CARRIER 58 MVP 100100,000 BTU FURNCAE, DUCT WORK & 38CKC036 36,000 BTU A/C
Fees: Valuation
$9,500.00
Plan Approval
$0.00
Permit Fee Paid
$147.50
Issued By:
Date 02/23/2004
U Permit Voided 1
Parcelld # 1281350000
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 17 . b
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130 RECFJvED
Phone(920)236 -5050 H
Fax (920) 236 -5084 FEB
N NEWA
HVAC PERMIT APP litENT OF
All information after bold categ 0 - ,; r igilA LOPMENT
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 -1128. Commencing work without permit(s) will gilt in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor Darticipatin2 in the Pernpit ee Ac ount System and have adequate funds. check here
jf you want this processed through your account [1 ,
DATE ' J 9 0 7'
JOB ADDRESS 3 si g' J nor a to 1 c (.'1 e
OWNER 1..,1diSh Ho ies '9or Per
CONTRACTOR MCM AIR, INC. 6122 COUNTY ROAD M, WINNECONNE, WI 54986
wi2-4402 FAX 582 -0136
CHECK B1 ALL APPLICABLE
USE CATEGORY
PiSingle Family ❑Duplex ❑Multi - Family (Mental ❑Commercial ❑Industrial
FUEL !Was ❑Electric ❑Solid SYSTEM 12iNew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
InForced Air ❑Radiant ❑Steam 9A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED DiNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per.the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent (B Other P Y
HEAT LOSS As Approved ❑Existing ❑Not Applicable
BTU RATE BAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WO BEING DONE YZ &ta, ( 4 4 e S & v ! OD
JDy yco T'() urva,a-e cA * tiove
0 00 e`r ( r A/ c.
VALUE (Including labor and all materials including light fixtures) $ ) 5 d 0 e
ELECTRICAL CONTRACTOR ?,L ,l , d eY' az ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new✓replac me t equipment shall be done by licensed comrade's.
3/02
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