HomeMy WebLinkAbout0124495-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 234 N MEADOW ST
CITY OF OSHKOSH
No
124495
HVAC PERMIT -APPLICATION AND RECORD
Owner GEORGE T FREDRICK
Create Date 04/30/2007
Contractor MCM AIR INC
Fuel l!J Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss () As Approved o Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Bumer-I
() Not Applicable
U Electric
o Replace
U Steam
I I Suppl.
. Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature ISFR / Replace furnace. Install 3" chimney liner. EIV provided by Seckar Electric.
of Work
Fees: Valuation
$3,300.00
fbnvo
Plan Approval
$0.00
Permit Fee Paid
$59.50
Issued By:
Date 04/30/2007
D Permit Voided I
Parcelld # 0609310000
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All infonnatioD after bold categories must be provided.
Incomplete applications will not be processed.
~
~OftJ
N HE WATER
· 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 permit(s) will result in fees being doubled or $100.00 plus
nonnal permit fee. which ever is greater.
OR
;~ ~~~ ~:en: t~~;~::~~;s~~r:~~~ua;~n:o~r t::C~:~?ir5ee At!count System and have adeauate funds. check h
DATE L{-2.1-07
JOB ADDRESS '2. ~4 l-J, l'-\ ~ A Do'v-J ST
OWNER GGOr2(j(, Fe.6DR.\CG
CONTRACTOR MCM AIR, INC. 6122 COUNTY ROAD M, WINNEcONNE, WI 54986
~tll-4402 FAX 582-0136
CHECK Ii:1 ALL APPLICABLE
USE CATEGORY
(k(Single Family ODuplex OMulti-Family
ORental
o Commercial
Dlndustrial
FUEL
0Gas
DOil
DElectric DSolid
DSolar
SYSTEM
ONew
o Other
~Replace
TYPE .
~orced Air ORadiant OSteam DAlC DVent OElectric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo ~Yes - LINER. SIZE '3 if & MANUFACIURF.R Fii)!~.:.L.'
Note: All chimneys shall be sized per.the Bro's being vented.
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
OAs Approved
DAs Per Plan
DChinmcy B
DExisting
DVariable
.t.&1Pirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE Ci+l2.iLl e 12 5611. V ho f6-o
00,000 I3'TU FU~PrL-e
VALUE (Including labor and all materials"indudiD& U&ht futures) S 3~ 0.0 6Sq ~o
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