HomeMy WebLinkAbout0123249-HVAC
e
OSHKOSH
ON THE WATER
Job Address 3847 SUMMERSET WAY
CITY OF OSHKOSH
No
123249
HVAC PERMIT -APPLICATION AND RECORD
Owner JEFFERY AlHEIDI L HUSNICK
Create Date 01/22/2007
Contractor MCM AIR INC
Fuel ~ Gas UOH
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss U As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR/ Install HEPA air filtration system thru entire house. No electrical work. NOTE:Owner listed as Jim Sternal.
of Work
Fees: Valuation
$1,400.00
Plan Approval
$0.00
Permit Fee Paid
$31.00
Issued By:
~
Date 01/22/2007
D Permit Voided I
Parcelld # 1527320000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement'
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
"
(;Jty ot Osbkosb
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Pbonc(920)236-5050
Fax (920) 236-5084
3r-
~
08QtH
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application{s) and fee{s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s) will result in fees being doubled or Sloo.oo plus
normal permit fee, which ever is greater. '
OR
~~ ~~~ ~:"~ t~~;t;~::~;$~~r:~~?ua~~":o~,. t::c:=~,ttre A~coullt Sv~tem alld have adequare funds check It.
DATE \"\ t ~ - @}7
JOB ADDRESS 3 2 .~ 7 ~ U\Iv\ V\t\e ~,~ e.t \}JQY
OWNER ~ ~VV\ ~t~Y' h <at-
CONTRACTOR MCM AIR, INC. 6122 COUNTY ROAD H, WINNECONNE, WI 54986
~~l-4402 FAX 582-0136
CHECK I2I ALL APPLICABLE
USE CATEGORY
~gle Family ODuplex OMulti-Family
ORental
OConunercial
o Industrial
,.
FUEL
ONew DReplace I-
~Other \-\ e..~Q. \= II< \ rr-C\.-t lev,
~Gas
DOi!
OElectric OSolid
OSolar
SYSTEM
TYPE .
Worced Air DRadiant DSteam DAlC OVent OElcctric DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED \9No DYes - LINER. SIZE
Note: All chimneys shall be sized per,the BTU's bein; vented.
& MANUFACTURER
CHIMNEY TYPE OChinmey A OChimncy B OI>irect Vent OOther
REA T LOSS OAs Approved OExisting , ONot Applicable N /A
BTU RATE OAs Per Plan OVariable OOther Value
D,E~CRlPTION O~ ALL V:ORK BEIN? DONE \ 1'\ ~: Q, II \N ~ \ e hCH.!. !H.
.t:l ~~ A Ct\ V' ~\ \-\- ~ Q. tf~ V\ .s. \.{ S T_ 'VY\
VALUE (Includinl: labor and all materials'lncludlnc llcht flDures) S ) I{.-C) 0
ELECfRICAL CONTRACTORN~-t_' QB. .~J.E1ec:tritID--Pj; eJVfbCcplaccmc:
\\J e. e d e 0\ EJectrl&4J UulDU41Ioll.0~<<MbIl et[IIlpMDIJ iJulJl ,. ... by licercsed ,
\\~~~\/ COMt~~;~~;fvNEIg:MENT