HomeMy WebLinkAbout0122996-HVAC
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OSHKOSH
ON THE WATER
Job Address 1570 MARICOPA DR
CITY OF OSHKOSH
No
122996
HVAC PERMIT -APPLICATION AND RECORD
Owner MICHAEL MUSSEN
Create Date 11/07/2006
Contractor MCM AIR INC
Fuel U Gas ITQ[
System D New
U Forced Air lliadiant
U Electric U Hot Water
Chimney Type U Chimney A o Chimney B
Heat Loss K:) As Approved o Existing
BTU Rate () As Per Plan Q Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
~L Other
U AlC . U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFRlINSTALL DUCTWORK TO ADDITION
of Work
Fees: Valuation $1,100.00
Issued By: ~kJ
Plan Approval
$0.00
Permit Fee Paid
$26.50
Date 12/21/2006
D Permit Voided I
Parcelld # 1319890000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
(':
\,;IIY ot ~oSlJ
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
PbODe (920) 236-5050
Fax (920) 236-5084
~
DEe 2 1 2006~
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" .,', '...,......,.. ..,.'. I
HVAC PERMIT APPLICATION
.",....-,--- " ' '.' I
All information after bold catcsories must be provided.
Incomplete applications will not be processed.
~
Q8QtH
· Application(s) and fee(s) can be brought to City Hall, Room 205 ormailcd to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will tmllt in fees being doubled or Sloo.oo plus'
nonnal permit fee, which ever is greater. .
OR
~~ ~~: a:ae"~ t~~;t;::;~;$~~r:h~?lla:rll:o~,. t::e:::"Hu A~count Sv~tem and have adequate funds check ~,
DATE \ 2. - Z.O -0/,0
JOB ADDRESS ~ \ S '1 0 }!\A 2, \CD PA
OWNER 'M \YJ'0 f \\)
. . ,
CONTRAcrOR MCM AIR, INC. 6122 CotiNTY ROAD M', WINNECONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
DRental
DCommercial
OIndustrial
-~r,. "'~---~--.FUEL'
OGas
0011
oEleCtric DSolid -- .. ---.---- 'SYSTEM'
DSolar
DNew
Ji"tOther
-OReplace
OVCT V0 0 2.. K
TYPE .
OForced Air ORadiant OSteam DAlC OVent OElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per,the BTU's hem; vented..
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
OAs Approved
oAs Per Plan
DChimncy B
DExisting .
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE D l,)C, \00\2. 'i- To A \)\)\\ \ () J
VALUE (Inc1udin& labor and all materials'IDcludlnc llcht fixtures) S '\00 00
ELECfRICAL CONTRAcrOR
/ QB. 0 Electric IDstaUatloD VertficatlOD form attacbtd(lfRcp\a(;cmc
EI<<tricIU Uul4l1Gliolt ofMWlrtplll<<MOl ~ sleAJI ~ ~ by I~ed
r\