HomeMy WebLinkAbout0131994-HVAC (furnace) CITY OF OSHKOSH No 131994
OSHKOS H HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1230 N MAIN ST Owner ARLEENE E SNYDER Create Date 08/04/2008
Contractor MCM AIR INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas ] Oil Electric Solar Solid
System New _ ~ ~/ Replace ~ ~ Other
/ Forced Air Radiant j Steam A/C Vent
Electric Hot Water ~ Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing f Not Applicable Value
BTU Rate As Per Plan Variable Other Yalue 60,000
Use/Nature FR /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC "check #20285
of Work
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Fees: Valuation $3,000.00
Plan Approval I
~ $0.00 ~ Permit Fee Paid
$55.00
Issued By: --~1'! _5~ Date 08/04/2008
Permit Voided
Parcel Id # 1500420000
In the performance of this work, 1 agree to perform all work pursuant to rules governing the described construction.
While the Cityof 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
Address
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.
Agent/Owner
6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number 920-582-4402
QtyoiOshkosb
Division of Iaspeetion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Fhone (920) 236-SOSO
Fax (920) 236-5084
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AUG 0 4 2008
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HVAC PIT APPLICATION
All iatormation arts bold eat+e=ories must be provided.
Incomplete appliestions will not be processed.
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• Application(s) and fee(s) can be brou8ht to City Hall, Room 205 ar mailed to Inspection Services, PO Box 1128,
Oshkosh VJI 54903-1128. Conunatcin8 work without permit(s) wiA result in fas being doubled or 5100.00 plti
normal permit fcc, which ever is grcstu.
OR
count Svstent a„d l~e~e odcoucte funds. check i
(wou waver ti~1: eroees~ed tl~rou=/~ vev- a eun-
DATE ~ - I - 08
JOB ADDRESS ~ ZOO MFG ~ N iS ~-
owNER I~'2 ~E E N E ~'N ~( (~~ rL
CONTRACTOR iii AIR, INC. 6122 OO1lNi'Y RQAD M, WINNDCONNE, WI 54986
~ -4402 FAX 582-0136
CHECK ®ALL APPLICABLE
USE CATEGORY
~Singlc Family ODuplcx OMulti-Family
• FUEL C'~Gas OElectric OSolid~ •
OOiI OSolar I
[7Rental OCommercial
SYSTEM • ONew
OOth«
DIndustrial
~Rcplacc
~E
PSForccd Aii ORadiant OStcam DA/C OVcnt C~Eleetric OHot Water OSuppl.OCon. Burns
I
IS CHYNIIVEY BEING LINED ONo ~Ycs - LII~1FR SIZE do MANUFACIZJRER ~t/Ex ~ ' L~ uE ~
Note: All chimneys shall be sized per•the BTU's bein= vested.
CHIIVDVEY TYPE DChimnry A i I7Chit:anry $ ~Dinoct Vent OOther
HEAT LOSS DAs Approved ~ OExistia~ ONot Applicable
BTV RATE OAs Per Plan ~ OVatisble OOth« Value
DESCRIPTION OF ALL WORK BEING DONE ~+~~'~~ E ~- S~MC'c3® b0 1c~iC~op 13`sU
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VALUE (Includln8 labor and all materiafi lndud-nt I1~bCQztura) S 3000 00
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