HomeMy WebLinkAbout0127347-HVAC
o
OSHKOSH
ON THE WATER
Job Address 4015 HEMLOCK CT
CITY OF OSHKOSH
No
127347
HV AC PERMIT - APPLICATION AND RECORD
Owner WILLIAM CICATHERINE K MARTIN
Create Date 10/18/2007
BTU Rate
MCM AIR INC
U Gas UOil J
Wew J
U Forced Air U Radiant
U Electric U Hot Water
ITChimney A Q Chimney B
o As Approved o Existing
(lAs Per Plan o Variable
Category 500 -__Resid~~al-Heati~~ Ventil~tlnJL_
Plan
Contractor
Fuel
U Electric -==:J
u_ Sola~-~~ [I~9~(r=~~~=~:
D.Qt.h~r_______~J
U NC_l O-VenT----1
U Con. Burner I
System
lliEp~__---.J
[TSteam~J
U Suppl. I
() Direct Vent
:_. Not Applicable -.J
Chimney Type
___~. Not Appli<::.~ple
l
Value
Heat Loss
__ Other -~.=~=_-:-~
Value
Use/Nature ISFR Ilnstail ductwork for lower level finish andrii"ove ale Iinesetloother sldeoftleam.----
of Work I
I
i
I
I
L.
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J
Fees: Valuation
$1,000.00
Plan Approval
$0.00
Permit Fee Paid _________$25.00
Date 10/18/2007
Issued By:
~
o Permit ",?~d~
Parcelld # 1282001413
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgentlOwner
Address 6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ciay o(O$hkosb
DivisioD oflDspcction Services
P.O. Box 1130
Oshkosh. W1 S4903.1130
Pbooe(920)236-S0S0
Fax (920) 236-S0S4
1-:5' r
~
~Q(R
HVAC PERMIT APPLICATION
All information after bold catelories must be provided.
1Dcomp1ete applications will not be proc:essed.
JOB ADDRESS If() 15 HeW\.) 0c,k ~+
OWNER c'a.+~y Mo.'ft((}
CONTRACTOR H::M AIR, INC. 6122 COONTY ROAD H, WINmX:QNNE, WI 54986
~~~-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
USE CATEGORY
l2ISingle Family ODuplex OMulti-Family
ORental
DCommercial
DIndustrial
FUEL
5tGas
DOil
OElectric OSolid
OSolar
SYSTEM
DNew ORc:pl~ce
mOther ~u.('~w ~ I{' k..
TYPE. .
9Forced Air DRadiant DSteam DAlC DVent OElcctric CHot Water CSuppl.DCon. Burner
IS CHIMNEY BEING LINED SNo DYes . LINER. SIZE
Note: All chimneys sball be sized per.the Bro', beiDa vemod.
& MANUFACTURER
"-.,...
/
CHIMNEY TYPE DChimney A OCbimney B CDirect Vent DOtheT
HEAT LOSS OAs Approved OExistin; eNot Applicable Nj p.,
BTU RATE DAs PeT Plan OVariablc DOther Value
DESCRIPTION OF ALL WORK BEING DONE , '0 "'1 Go l\ d \A ~.-t w (; '(" k ~ Y'
J~ ~e I(' 'fie ~ Sf ~ n. \ .r;\-. I rr.<!> \Ie. A _ e \ 1't'lE'. set to @'\'Vl_
_ . ~~ ~_ ~e_CHV\
...9J
VALUE (Ioc1udin& labor and aU materlals'lnc1udlnc UCht flxtura) S \ C)f!) 0-
, ELECTRICAL CONTRACTOR
~(/A
,
QB. 0 Electrlc IDStallatioD VertncatiOD fOnD attacbed(U'k~
EJ.arlcoIllul4ll.II011 o/~"''''' equipetaI Wall ~... by I~
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