HomeMy WebLinkAbout0128192-HVAC
G
OSHKOSH
ON THE WATER
Job Address 2321 HICKORY CT
CITY OF OSHKOSH
No
128192
HV AC PERMIT - APPLICATION AND RECORD
Owner MATTHEW R/CHARLES A/KATHLEEN S N
Create Date 09/19/2007
Contractor
MCM AIR INC
BTU Rate
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Category ~.?_-B~sidellti(ll-Both _~_______,
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Plan
Fuel
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Chimney Type
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Other
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System
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D:~'o~n. Burner'
"a "NOt Appli~~~I~n
DYen(:. :
Heat Loss
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Value
Value
Use/Nature !i\iSFRIINST AlI.-NEW 1cioo~o60-BTO-FURNACE AN-[)"4TONA/C-ONTf'F-OR-NE-W HorJfE:'**check#19700"
of Work
Fees: Valuation $11,000.00
Issued By: ~ ~
Plan Approval
$0.00
Permit Fee Paid
$170.00
.---.,-,.-.-.--.,.......-
Date 12/18/2007
D-"'~rmit Voi~~~
Parcelld # 1526190700
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
6122 COUNTY ROAD M WINNECONNE
WI 54986 - 9780 Telephone Number 920-582-4402
__....n_.___ __n_.u.__
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Division oflDspectioQ Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Pbooe (920) 236-S0S0
Fax (920) 236-S084
HVAC PERMIT APPLICATION
All wormatioD after bold c:atclories must be provided.
1Dc:omp1etc applications will DOt be proc:cssed.
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anJQtR
· Application(s) and fee(s) can bcbrought to City Hall. Room 20S ormailcd to Inspcc;tion Savices, PO Box 1128,
Oshkosh WI 54903-1128. CommcncinC work without pcnnit(s) win result in fees being doubled or SI 00.00 ph~
nonnal permit fee, which ever is greater.
OR .
~~ ::~ a:ae"~ :,,~:t;::;~;$:~r:i~~llQ~~":,,~,. ~~:;~1~f:reA~COu", SV!'flPrt Q"d hQVfI adeouate fu"ds c1u!ck I
DATE \z- \1-0 'l
JOB ADDRESS 1-.~2-1 \-\'G'i-D~'i Cr-
OWNER c'A'LA" t \2- i \-\0\'-\ S 'S \i \ G- L-
CONTRACTOR H::M AIR, INC. 6122 COtJN'N ROAD H, WINN'ECONNE, WI 54986
~UZ-4402 FAX 582-0136
CHECK ItJ ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
OCommercial
DIndustrial
FUEL
OOas
DOi!
OElectric OSolid
c:rSoliT--- . ..
SYSTEM . MNew
'8Q;her
DReplacc
ITPE. .
YWorced Ail DRadiant DSteam DAlC OVent OElcctric DHot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per.the Bro', bem; vCDlCd.
&. MANUF ACTt.JR.E:R.
"
P\JL
CHIMNEy TYPE OChimney A OChimncy B lxiDircc:t Vent
REA T LOSS OAs Approved OExiatin; aNol Applicable
BTU RATE DAs Per Plan OVariablc OOther Value
DESCRIPTION OF ALL WORK BEING DONE GA\<.~\ t:(2.. \00 .000
~))e.NF\Ge; 4 TDl\J l\%,uCO blU 1\1[. cr
OOther
~J'r \)
DDG-rwoe. G
VALUE (Includin& labor and all matcrials'IDdudlD& Ucht flxtures) S \ \ \ 000 Cl D
. ELECI1UCAL CONI"RACTOR ~ 1) \ LDt E.? QB 0 EIodricIIlltallaUo. VulIkadoD r..... ._bod(ll_
(, LtCf e ILIt\ N flcublliullll1l11. of~ ~ Wall ~__ by I~