HomeMy WebLinkAbout0127426-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 3250 MEDALIST DR
CITY OF OSHKOSH
No
127426
HV AC PERMIT - APPLICATION AND RECORD
Owner ARDON LLC
Create Date 10/23/2007
Contractor MCM AIR INC
Category ~~~lE!s!,-~ COIl1J!1-=-~~Conditionin_~L___ Plan
DSOTId---= j
Fuel U Gas UOTI ~ U Electric---l ITs~~==l
System 0 New J 0 Re~_~_~
U Forced Ai~ U Radiant I U Steam l ~~~___ ~
U_~~ U Hot Water J [TIuppl. _ ~ D~:_~urneifJ
Chimney Type [IChimney A () Chimney~=-TI Dir~ct Vent ------==_ Not Applicable --=:J
Heat Loss Dt.~_~pr~\I~___~_Q Existing ___~=~~~==~_.=:HC>f~~~-__---] Value
BTU Rate D~~~_J=>er Plan====~TI-Variable-====~=~=__._9J_h~E__________-=:J Value
Other
D~~~~t ~=-=]
Use/Nature [COMMIREPLACE-2 TON NC UNIT ANDFANc6fCEIV SiGNEO-S'nfECKARELECTRIC-coTNc**aieck-#19520
of Work :
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Fees: Valuatio~_AA $3,600.00
Issued By: 0 l J \~
Plan Approval $0.00
Permit Fee Paid __________!6j.OQ
Date 10/23/2007
D__~ermit ~oi9~~
Parcelld # 1413630100
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 (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.
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DMsioD orlDspec:tion Services
P.O. Box 1130
Oshkosh, WI S4903-1130
Pbooe (920) 236-S0S0
Fax (920) 236-S084
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OEQLR
JOB ADDRESS 3'2.. c.:)O \.H;:{)"L \":5\ t>Q
OWNER ~\)68~ ~\l-'-'Dt)~PL-'i
CONTRACTOR l-Oi AIR, INC. 6122 COtJm"{ ROAD H, WINNECONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK itI ALL APPLICABLE
USE CATEGORY
DSing)eFamily DDuplex DMulti-Family
ORental
)ttComrnercial
DIndustrial
FUEL
OGas OElectric OSolid SYSTEM DNew
OOil o Solar OOtha
TYPE.. .~ I R\l\JCO l L-
OForced AIr ORadiant OSteam ~AlC DVent OElectric OHot Water DSupp1.0Con. Burner
~eplacc
IS CHIMNEY BEING LINED DNo DYes . LINER SIZE
Note: All chimneys shall be sized per.the arot. beiDa vCDZed.
&. MANUFACTURER
CHIMNEY TYPE
m:A T LOSS
BTU RATE
OChinmey A
OAs Approved
OAs Per Plan
OChimncy B
OExiltin
. I
OVariable
ODircct Vent OOther
DNot Applicable
DOthcr Value
--
DESCRIPTION OF ALL WORK BEING DONE CAeJ2\ E. (Z- 2J+Ae:A~2L\- A.oa"?:;
2. \' 2l\- \ 000 'DTI) A Ie. q-- ~A\J ~ t L
v ALUE (Includin~ labor and all matcrlals"lDdudlD& UCbt f1xtures) S '3000 0,0
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Job Address 3250 MEDALIST DR
Owner ARDON LLC
HVAC Permit Work Card
Permit Number 127426 Create Date 10/23/2007
Contractor MCM AIR INC
Fuel D:Ga~_:.=J U~.=J U Electric I rn9:f~r-] U Solid:=] Value _____ $3,~_g.Q:00
System D.New______~J 0 Repl~~_______J D_Q~~~~___________J
D~~~~edATr=:J U Radia~C=J U StEi~_~n-~-=~ [~[~~=~~~:==~j LJ V.!~nL_.:=:==
D~~lectric -=--1 O.!:l.~~~ater ~] U S:~e~I::_~~ D_E~~~~-~~~e_r]
Chimney Type D:ChlmneyA-.----.D ChTnlrley-i3---.------uDlrectVeni"---------.Not Appllca-ble----j
Use/Nature POMM/REPLACE 2To-NNC U~f1T AND FAr;{coiEEIVSIG-NEO'SYSEC'KAf{El:E'CTRIC-CO INC=~*Check#f9-520--_u---_':':
of Work I I.?f:"",,,:
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Inspections:
Date 11/2.!!?_Q.~ Type Final
r,,,,"q;mt~-~
__ Inspector AlIll1..l:2annho.!f. __ _ ___ no time \ !L.... ,
_H__ - --~-- --~:( h r/
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Date/Time requested: 11/20/200704:13 PM
Access: ICall Don Schroeder 235-0011
Requested By: MCM AIR INC
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready Date/Time:
11/20/2007 04:13 PM
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Phone Number: 920-582-4402
o Reinspect Fee Paid