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HomeMy WebLinkAbout0103322-HVAC 103322 CITY OF OSHKOSH No OSHKOSHHVAC PERMIT - APPLICATION AND RECORD ON THE WATER FOX CITIES CONST Job AddressOwner 3490 EICHSTADT RD Create Date08/05/2003 ContractorMCM AIR INCCategory502 - Residential-BothPlan OilElectric üü GasSolarSolid Fuel üü NewReplaceOther System üü Forced AirRadiantSteamA/CVent ElectricHot WaterSuppl.Con. Burner Chimney TypeChimney AChimney BDirect VentNot Applicable Heat LossAs ApprovedExistingNot ApplicableValue0 As Per PlanVariableOther BTU RateValue Use/Nature NSFR/ Install 60m btu and ductwork. of Work Plan Approval$0.00 Fees: Valuation$4,000.00Permit Fee Paid$65.00 Issued By:Date08/05/2003 Permit Voided 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. SignatureDate Agent/Owner Address6122 COUNTY ROAD MWINNECONNETelephone Number(920) 582-4402 WI54986-9780 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. OSHKOSH ON THE WATER .lob Address 3490 EICHSTADT RD Contractor MCM AIR INC Fuel ~J Gas ~ System ~J New ~J Forced Air 1 ~J Electric I CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Owner FOX CITIES CONST Category 502- Residential-Both L~ Electric Replace Radiant Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss IO As Approved ~ Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~ Variable ~) Other I Value No Create Date Plan L~ Solid 103322 08/05/2003 Other J Vent J Use/Nature NSFR/Install 60m btu A/C and ductwork. of Work Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Issued By: Date 08/05/2003 Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. 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 Impecgon 5crvices P.O. Box 1 !30 Oshkosh, WI 54903-1130 Phon~ (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information aflcr bold cate~orics mu~ ~- .a~C~l-r ~,.- Incomplete applicatiom vail nc~~ ,,,~7!~~ VI' u~V£LOP~ENT · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Scrviccs, PO Box 1128, Oshkosh WI 54903-1128.. Commencing work without permit(s) will result in fc~s l:~ing doubled or $100.00 plus thc normal peru,it fee, which ever is greater~ OR I£vou are a contractor ~articivatin~ in the ~ermtt £ee .4ccount Swtem and have adeouate £und$. chech here if you want this z*roccssed through your account DATE CHECK El ALL APPLICABLE USE CATEGORY lEIS' gleEamily; ' r ' "' E]Industrial m .: .ODup!e~/: ~l~-_Famijy I-1Rental . [-IComm~,ial .:~ ' :" .~ FUEL ~ DEl~ric DSolid SYSTEM lI~lew fireplace DOff ~ ? ' DSolar : ' OOther .... - TYPE l~Forced Air r'lRadiant I-ISteam r'lA/C OVent OEleclric OHot Water ElSuppl. ECon. Burner IS (d~ BEING LINED r'lNo ~Yes - LINER SIZE & MAlqUFAc;ftlRER Note: All Chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE OChimncy A [~La.s Approved IE1As Per Plan OChinm~7 B gm. Existing . r'lvariablc ElDirect V~t EINot Applicable OOther Valu~ DESCRIPTION OF AI,'. WORK BEING VALUE (Including labor and .1! nmterl~ls including light fixtures) $ ' ELECTRICAL CONTRACTOR ~ U~ / a ~-- Y' k ~-~ / :. I3 ~0r applicable projects an Electric Installation Vcrification form;signed 5y thc Electrical C6n~t0r, must be . .attached. Ifn6t attached Or n6t applicablc,a separate Electrical Permit is required. 9/02