HomeMy WebLinkAbout0126065-HVAC
G
OSHKOSH
ON TH6 WATE}o/&:7
Job Address 4e't+HEMLOCK CT
CITY OF OSHKOSH
No
HVAC PERMIT - APPLICATION AND RECORD
Owner PORTSIDE BUILDERS
Create Date
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor MCM AIR INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A C) Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate ~er Plan () Variable
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
~
I
I
C) Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature NSFR /INSTALL NEW 60,000 BTU FURNACE AND 2 TON AlC AND DUCTWORK FOR NEW HOME
of Work
Fees: Valuation $6,400.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$106.00
Date 08/03/2007
o Permit Voided I
Parcelld # 1282001406
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986" 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
City o(O$hkosh
Division of Inspection Services
P.9. Box 1130
Oshkosh. WI S4903-1130
PboDe (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION
All information after bold catelories must be provided.
Incomplete applications will DOt be proceued.
· 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. Commencins work without pc:nnit(s) will result in fees being doubled or S I 00.00 pl~
normal permit fee, which ever is greater.
OR
~~ ::: ~:"~ t~~:t;~:;:;~:~r:~~~lIa:~":o~,. t::e::~"f:5u A~cou"t Sv~te," a"d "ave adequate funds clled I
L/-Dlt.o DATE '6 \~Ol
JOB ADDRESS I \ () 'I q \-\ E )v\ \.DC \:::.. LT
OWNER \=>O~\S\DE ~\.)\ LDf:\2-.C,
CONTRACfOR l-K::M AIR, INC. 6122 COUNT'{ ROAD H, WI~, WI 54986
~~~-4402 FAX 582-0136
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family ODuplex OMulti-Family
ORental
DCommercial
DIndustrial
FUEL
t:s(Oas .~ DElectric OSolid
DOil o Solar
SYSTEM " )\New
OOther
ORc:place
TYPE.. kt,
~Forced Air ORadiant OSteam ",\Ale OVent OElcctric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINE.R SIZE / & MANUFACTURER. ~
Note: All chimneys shall be sized peT.the BTU', beiDa vCDlCd..
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
OAs Approved
DAs Per Plan
OCbimncy B
ClExistini
OVuiablc
P"L
j9Direct Vent DOther
ClNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE Snt-'lc~ObO 00 \ 0C'Cl & U
\=\)~~\Au :2..4A6R32.L\ 2- ,. 2..,4,000 13m A I L
'1- O\)CTWO~~
V ALUE (lDc1udin~ labor and all matcrlats"lncludlnc Ucht nxtures) S (040000
Q .. 1:>IOboo
ELECTRICAL CONTRACfOR f--.j\) \ LDE Q. L; QB. 0 Electric lutallatloD VuUkatloD fOnD anacbcd(lr R~
Elfit:IrbJ ""ldUatloll o/~ ~ JMJI ,.... by I~