HomeMy WebLinkAbout0127709-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1613 ONTARIO ST
CITY OF OSHKOSH
No
127709
HV AC PERMIT - APPLICATION AND RECORD
Owner BARBARA A MENTZEL
Create Date 11/07/2007
-~--
Contractor
MCM AIR INC
Category 50~- Residential-Heating & Ventilati.J:19___
Plan
U_Solar -=:J [L~~lid ~-=~_]
u_Qther _________:
U_~~_:J
BTU Rate
1,;"1 Gas ITOH J D:Jlecfnc I
o New ~eplace_~
~ Forced Air U Radiant []Ste8m I U AlC ~
fjElectric I J Hot Water I ~-=:J U Con. Burner l
O__Qb.~----Q Chimney B_.~~t Vent _______O_l\1ot Applicable
(TAs Approved Q Existing '-:=Not Applic~ble -===:J
D_ As Per Plan ______ Variable -__=-- O-Oth~=----===~=]
Value
Fuel
System
Chimney Type
Heat Loss
Value
_ ._______~9_,Q()Q
Use/Nature ~FR / REPLACE FURNAcE, EIV SIGNED BY SE-CKAR ELECTRIC **check #19582----------------
of Work ,
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Fees: Valuation $3,000.00
~----
Issued By:
Plan Approval
$0_00
Permit Fee Paid $55.00
-_._~-----_._-~._--_._-
Date 11/07/2007
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o Permit Voi?!~
Parcelld # 1210940000
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.
Date
Signature
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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DivisioD oflDspectioQ Setviccs
P.O. Box 1130
Oshkosh. WI 54903-1130
Pboac (920) 236-S0S0
fax (920) 236-S0&4
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HVAC PERMIT APPLICATION
All wormatioll after bold catqorics must be provided.
1Ilcomp1etc app1ic:&tiOllSwUlllOt be procesKd.
. Application(s) and fee(s) can be brought to CityHal1.1loom 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI 54903-1128. Commencinl work without pc:mUt(s) wiU result in feesbcing doubled or SI00.00 pl~
nonnal permit fee, which ever is greater. '
OR .
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DATE I \ - ~ - e, 7
JOB ADDRESS 1 ~ \ '6 (0\1\1"o.:r- ~ G ~t-
OWNER '~f ~ l\t\.e-Y\1z~\
CONTRACTOR H:M AIR, INC.
6122 COUNTY ROAD H, WINmX:ONNE, WI 54986
~~~-4402 FAX 582-0136
CHECK Ii3 ALL APPLICABLE
USE CATEGORY
~ingleFamily ODuplex OMulti-Family
ORental
OCommercial
Dlndustrial
FUEL
tsGas
0011
OElectric OSo1\d
o Solar
SYSTEM
ONew
DOthcr
lnReplace
"
TYPE. ,
Norced Alr ORadiant OSteam DAle OVent OElectric OHot Water OSupp1.0Con. Burner
IS CHIMNEY 'BEING LINED DNo ~Ycs - LINER SIZE 31' & MANUF ACTURERt-ta 'fl- +
Note: All chimneys shall be sized per, the Bro', beill& vClll.Cd.. (!,c,eJ i e t
CHIMNEY TYPE DChimney A OChimncy B mDircet Vent DOther
REA T LOSS OAs Approved OExistin; aNot Applicable
BTU RATE OAs Per Plan ~Vuiable DOther Value
DESCRIPTIpN OF A!-L '\V9RK BEING DONERe\p\a.~e.. ~()l\('n q C~-'
Q.a. '\ '" \ C'. y-, ~!')~ M Y-.. ~ G E? 0 ~C>> ~ (j 0 9'T \ j
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V ALUE (IDc1udln~ labor and all matcrlals'lllcludlllC llCbt nxturcs) S :\ 0 () 0 -
, ELECTRICAL CONTRACTOR
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