HomeMy WebLinkAbout0127126-HVAC
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OSHKOSH
ON THE WATER
Job Address 4012 HEMLOCK CT
CITY OF OSHKOSH
No
127126
HV AC PERMIT - APPLICATION AND RECORD
Owner PORTS IDE BUILDERS
Create Date 09/28/2007
Category 502 - Residential-Both
Plan
Contractor
MCM AIR INC
Fuel l!l Gas ~ U Oil I U Electric U Solar U Solid --.-J
System 0-~ew _ ~ DJ3.El~_____u_.J O_qt.b.e!____________1
~ced Air U Radiant J U Steam -:-I ~__.=J U Ve~__J
OJ J D ' ~ ' nCon.-_.~.um.e___r_--.:
_ _ E~~ _~Hot\i\Jate~--.I L_L~uppl.___~=J L.L: _ _ _ -
Chimney Type D_Q.h,irnJ:1_ey A______OQhif:nney B ==~_=:-._QIi~~L\7~~_C=~=_===:==Q}JQt.Ai>eIi.c:Cl.bJEl_=-_=J
Heat Loss rrASAPProvecr---~D Ex~ing ==-=:====.]Q[A.R~i~~~I~==-=--=~] Value ----------
BTU Rate D_ AS!'-.El.':EL~_=- ___DY...ariable:-==:=-:=--===.=Qtb:~!====-=:====-:=] Value --------------------
I--~-------------------------------------------------------------------------------------- ------------
Use/Nature INSFR/ New single family' 1story, 2 car attached garage and 12' x 13' -6" deck. The driveway will be concrete.
of Work:
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Fees: Valuation ___~~JOO.OQ
Issued By: (2~
Plan Approval $0.00
Permit Fee Paid _______$10J~Q
Date 10/05/2007
o Permit Voi.d~
Parcelld # 128200147
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number
-_._-_..~.- -..-------.-.. -'----'
920-582-4402
~._~_.__.------~_._._-----~-_._~----- --- _..-----~._._.._--_._,.
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
?'-'
City ofO$hkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OSQtR
HVAC PERMIT APPLICATION
All informatioD after bold C&tclorics must be provided.
IDCOmpletc applicatioDS will DOt be proce$$Cd.
· 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. CommcncinC work without pcnnit(s) will result in fees being doubled or S 1 00.00 pl~
normal permit fee, which ever is greater. .
OR
~~ ::: a;:"~ ,~~:';:::~:~~~r:i~?&la:in:o~,. t~:e~:~"fif! At!count SVftUt and have adeQuate fu"dJ dlf!cIc j
DATE \0-4-01
JOB ADDRESS ltO\~ fi'fJ.\lOc\i.. C '\
OWNER \/aqS\DE bD\LDfe.S
CONTRACTOR w:::M AIR, INC. 6122 COON'l'Y RCW> H, WINNECONNE, WI 54986
~~~--4402 FAX 582-0136
CHECK Ii! ALL APPLICABLE
USE CATEGORY
~Single Family ODuplex OMu1ti-Family
ORental
o Commercial
DIndustrial
FUEL
OlGas
oOil
oElectrlc OSolid
OSolar
SYSTEM ' ~ew
Oather
OReplace
TYPE.. .....r
li{Forced AIr ORadiant OSteam }3I.AlC DVent OElcctric OHot Water DSuppl.OCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per.the Bro', beiDI vCD1ed.
& MANUF ACTtJRER
"
, P\JG
CHIMNEY TYPE oChillUlCY A OChimncy B t&tDU'C(;t Vent OOther
REA T LOSS OAs Approved OExistin; ONot Applicable
BTU RATE oAs Per Plan OVariablc OOtherValuc
DESCRIPTION OF ALL WORK BEING DONE CA~\I:;:R tS8MC.J::or.oo wtCC'O B\U
~\)eNAGE 2L~r;~Q...oJ24 2.4\()C,)O BIt) 2T", Ale "'r DDC\WOR\C'
ili 00
V ALUE (IDcludin~ labor and all materlals'lDcludlDC UCbt nxturcs) 00
ELECTRICAL CONTRACTORbu \ l DE Kl S QB. 0 Electric IDStallatloD VuU\c:atlOD fOnD anacbcd(lfRcplacxm
(L:6LTlL\ctAW ~
OCT 0 5 2007 ~
DEPARTrVJENT OF 1~1 \ I-
COMMUNITY DEVELOPMENT ..
INSPECTION SERVICES DIVISION