HomeMy WebLinkAbout0123539-HVAC
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OSHKOSH
,.
ON THE WATER
Job Address 3865 EDGEWOOD RD
CITY OF OSHKOSH
No
123539
HVAC PERMIT - APPLICATION AND RECORD
Owner EDGEWOOD VILLAGE HOMEOWNERS A~
Create Date 01/18/2007
Category 502 - Residential-Both
~ectric
o Replace
OSfeam
Wuppl.
o Direct Vent
Plan
Contractor MCM AIR INC
Fuel ~ Gas UOil
System ~ New
l!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
U Solar U Solid
o Other
~ AlC 0 Vent
U Con. Bumer
. Not Applicable
o Not Applicable
D Other
Use/Nature NSFRI INSTALL NEW FURNACE, AlC AND BOILER FOR NEW HOME
of Work
Value
Value
.
,
J
Fees: Valuation $20,400.00
Issued By: 8rl-JLt)
Plan Approval
$0.00
Permit Fee Paid
$264.00
Date 02116/2007
o Permit Voide..<!J
Parcelld # 1282000100
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.
~.~~(.
cuy ot Osllkos.b
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-50&4
FEB 16 2001
~
D~QfH
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 WI 54903-1128. Commencing work without pcrmit(s) willrcsult in fees being doubled or Sloo.oo plus
normal permit fee, which ever is greater.
OR
~~ ~~~ a:aen~ t~~;t;~;:~;l'e~r:~~?tJa;~l:~~",. t::c~:~,tf::5u A~Collllt System and have adequatl! funds. check ~
DATE Z - I 5 - (!) 7
JOB ADDRESS 38' to 5 \; d ~e wocd I 'R.d
OWNER be V'l Bo.lf-r.:z. (?ClY"-\- s \ d ~ ")
CONTRACTOR MCM AIR, INC. 6122 COUNTY ROAD H,
WINNECQNNE, WI 54986
~~l-4402 FAX 582-0136
CHECK ~ ALL APPLICABLE
USE CATEGORY
'fllSingle Family DDuplex DMulti-Family
DRental
DCommercial
DIndustrial
"
FUEL
)is'JGas
DOil
OElectric DSolid
DSolar
SYSTEM
~ew
o Other
DReplace
TYPE .
~orced Air ORadiant OSteam DAle OVent OElectric DHot Water OSupp1.0Con. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER. SIZE
Note: All chimneys shall be sized ~.the Bro's beiDa vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimncy B
DExisting
DVariable
DDirect Vent 'gJOther P \} c-
DNot Applicable
DOther Value
V ALUE (1ncludin~ labor and all materials'lncludlD& U&bt flxtures) S 20, 4-00 . 00
ELECfRICAL CONTRACfORB u. J \ d' e t ~ QB 0 Electric IDstallatioDYcriOcatioD form .ttacbed(1(R~Laccm
Eledrlc4J Uu14l/lJIiott o/ltlWlrqJl~ ~ u.411 be doM by lico.sed