HomeMy WebLinkAbout0123488-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 513 W 9TH AVE
CITY OF OSHKOSH
No
123488
HVAC PERMIT -APPLICATION AND RECORD
Owner DUO SAFETY LADDER CORP
Create Date 02113/2007
Contractor
MCM AIR INC
L!':J Gas
o New
L!':J Forced Air
U Electric
Chimney Type D Chimney A
Category 510 -Ind. &Comm-Heating & Ventilating
Plan
Fuel
UOil
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar
System
Heat Loss
o As Approved
o As Per Plan
U Radiant
U Hot Water
() Chimney B
() Existing
() Variable
U AlC
U Con. Burner J
() Not Applicable
BTU Rate
. Not Applicable
. Other
Value
Value 40,000
Use/Nature OMM / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC
of Work
Fees: Valuation $2,500.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid ____ $47.50
Date 02/13/2007
o Permit Voided I
Parcelld # 1300010000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gah; entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
,$'
cuy ot OstlXosJJ
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVE~
FEB 1 '3 t~1 DBQtt-1
N H W^ I
HV AC PERMIT APPLIC~15JQt+AENT OF
All information aftcr.bo1:d catc~o~--I~pto1i~ElOPM.ENT
Incomplete applications will ~O"tl>l:'~~~.
· Application(s) and fee(s) can be brought to City Hall. Room 2()S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus
nonnal permit fee,which ever is greater.
OR
f~ ~;: ~e": t~~;t;~:;~~:t~~r:~~~ua;~n:o~,. t::c~::,ff:tf! ,UCollnt SV:ttem and have adeql!ate fUllds check 11
DATE 2-- '2 -0>
JOB ADDRESS 5\~ W.C\+\r\ A\Je
OWNER ~P.N\)\\ ~A'N\)~\2..SE t: \)\)0 S A~8T'-I LADDE 2-
CONTRACTOR MCM AIR, INC.
6122 COt.lNTY ROAD M, WINNECONNE, WI 54986
~ij~-4402 FAX 582-0136
CHECK (t! ALL APPLICABLE
USE CATEGORY
o Single Family ODuplex DMulti-Family
rztCommercial
DRental
OIndustrial
"
. FUEL -, }QGas
DOil
DNew
DOther
~Rcplace
DElectric. DSolid
DSolar
SYSTEM
TYPE .
~orced Air ORadiant OSteam ONC DVent OElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED't\iNo DYes - LINER. SIZE & MANUFACTURER
Note: All chimneys shall be sized per'lhe Bro', bein; vented.
P\lC
CHIMNEY TYPE DChimney A OChimncy B OOirect Vent OOther
REA T LOSS OAs Approved OExisting ONot Applicable
BTU RATE DAs Per Plan OVuiable OOther Value
DESCRIPTION OF ALL WORK BEING DONE CA\2J2..l E- (2.. 58 \'-'\. 'I.. ~oL\O
Ltc) . 0 D D~ T\) y.:: \) Q..\-l A c.;C
~ v.JCO DC'
V ALUE (Includin~ labor and all materlals'lncludlnl Ulbt Oxtures) S .b ___
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ELECfRICAL CONTRACTOR ~t:.C'tA- '12- III ~Electric JDstaUatioD Verlnc.atioD form attacbtd(lfReplalxm
El~ WIIJUGliolt olJWWIrqH~ equlpIIt4W JAG/I ~ doM by liceAsed
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7" DEPARTMENT OF .
COMMUNITY DEVELOPMEr~T
Electrlo ~~CrUlCaUDD
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