HomeMy WebLinkAbout0123250-HVAC
.-G-
OSHKOSH
ON THE WATER
Job Address 3358 3360 COUNTY ROAD A
CITY OF OSHKOSH
No
123250
HV AC PERMIT.. APPLICATION AND RECORD
Owner HAROLD SALZER
Create Date 10/11/2006
Contractor
MCM AIR INC
l!:J Gas
o New
l!J Forced Air
U Electric
Chimney Type KJ Chimney A
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
UOil
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
l!J AlC U Vent
U Con. Burner
. Not Applicable
System
Heat Loss
. As Approved
. As Per Plan
U Radiant
U Hot Water
() Chimney B
() Existing
() Variable
BTU Rate
() Not Applicable
() Other
Value
Value
Use/Nature NEW DUPLEX! * 2 story with 2 car attached garages and 14' x 14' patios and concrete driveways. Install 2 Payne furnaces & AlC units.
of Work
Fees: Valuation
$12,000.00
Plan Approval
$0.00
Permit Fee Paid
$180.00
Issued By:
~
Date 01/22/2007
o Permit Voided I
Parcelld # 1550080100
In the performance o(this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pernlit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
t;uy or VsnkoSlJ
., Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OBQfH
HVAC PERMIT APPLICATION
All information after bold catcsories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128.
Oshkosh WI 54903-1128. Commencing work without pcrmit(s) will result in fees being doubled or Sloo.oo plus
nonnal permit fee. which ever is greater. .
OR
~~ ~~~ ~en~ '~~;';~:~~;$~~r:~~~ua;~n:o~,. t::c~::7tHee A~count SV$tem and have adeauate funds check h
!)u.r \ e.x. DATE_\ ~ \., ~ '.- .C} t
JOB ADDRESS 3 3 i5 g, 1- 3 3 b () c.+y 'Rd A
OWNER--B R <5 tJ e \J'.e., \() 'f\ 'fY'1C. \')f
CONTRACfOR MOi AIR, INC. 6122 COUNTY ROAD H, WINNECONNE, WI 54986
~Hl-4402 FAX 582-0136
CHECK ItI ALL APPLICABLE
USE CATEGORY
OSingle Family I54Duplex OMulti-Family
DRental
o Commercial
DIndustrial
.'
FUEL
~as
DOil
OElectric OSolid
DSolar
SYSTEM
, JidNew
DOther
DReplace
lYPE .
~orced Air DRadiant DSteam DAlC DVent OElcctric DHot Water OSupp1.DCon. Burner
IS CHIMNEY BEING LINED mNo DYes - LINER. SIZE
Note: All chimneys shall be sized per,the Bro', beiDa vented..
& MANUFACl1JRER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
I&1As Approved
IilAs Per Plan
DChimncy B
OExistinS
DVariable
ODircct Vent l&lOther ~ V ~ .
DNot Applicable
DOther Value
VALUE (Jncludin~ labor and all materlals'lncludlDI Ulbt fixtures) S (.2-) ~ eJO ,---
ELECTRICAL CONTRACfOR~U.( \~et)s OR o Electricl
~iMlDlilJi
o ,: .~, .,....~,;
dOD form attacbed(l( Rtplacxmc:
L~ i10r~
JAN 22 L;jJ J-""
DEPARTMENT OF I ~
COMMUNITY DEVELOPMENT
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