HomeMy WebLinkAbout0139730-HVAC 0 CITY OF OSHKOSH No 139730
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 657 W 17TH AVE Owner GREG DOBBERKE Create Date 01/04/2010
Contractor MCM AIR INC Category 502 - Residential -Both Plan
Fuel 1.✓j Gas U Oil U Electric U Solar I Solid
System n New 1 n Replace 1 ❑ Other
U Forced Air u Radiant u Steam u A/C u Vent
U Electric U Hot Water 1 Suppl. Li Con. Burner
Chimney Type C) Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate K ) As Per Plan 0 Variable • Other Value
Use /Nature NSFR / INSTALL NEW 60,000 BTU FURNACE AND 1 -1/2 TON A/C FOR NEW HOME * *check #21564
of Work
Fees: Valuati $8,000.00 Plan Approval $0.00 Permit Fee Paid $130.00
Issued By: Date 02/10/2010
❑ Permit Voided I Parcel Id # 1406120100
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 (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.
City ofOshkosb
Division of Inspection Sevices
T.O. Box 1130
Oshkosb. WI 54903-1130 FEB 1 0 2010
none (920) 236-5050
Fax (920) 236-5084
CO'
HVAC PEFtEillfAtiFiLitAtitit4
All information after bold categories it be provided.
Incomplete applications will not be processed.
• Application(s) and fcc(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus
normal permit fcc, which ever is greater.
OR
if you are a contractor oarttctoatin. in the egintLfee Adcount System and have adeouate funds check
revolt want this processed ihrourk your accouter
DATE 10
JOB ADDRESS (05 ‘Al n
OWNER Arzt 5vp,c AFT „ DEc25 t_Lc
CONTRACTOR mat MR, INC. 6122 aniTY ROAD M, WI FONNE, WI
DU 2 FAX ;83 36
CHECK 121 ALL APPLICABLE
•
USE CATEGORY
CikSinglc Family ODuplcx 0Multi-Family ORental OCorturicrci al 0Industri al
• FUEL as °Electric °Solid SYSTEM 44ew 0Replace
00i1 0Solar °Other
'nPE
Worccd Air °Radiant OStcam t;5t./C OVent OElectric ClHot Water 0Suppl.00on. Burner
IS CHIMNEY BEING LINED ONo OYcs LINER SIZE & MANUFACTURER
Now: All chimneys shall be sized per.the BTU's being venial
p'J
TYPE OChimney A Clasimney B stRADirtct Vcnt DOthcr
HEAT LOSS DAs Approved 0Existing ONot Applicable
BTU RATE DAs Per Plan CIVariable 00ther Value
,• DESCRIPTION OF ALL WORK BEING DONE 5S MC-C 1 0C-1 0 00 PDA V
2.4 Pite>•5)st 1, 5 T \8C0
VALUE (Including labor and all materlabincludIng light ftxtures) ;
. ELECTRICAL CONTRACTOR 61)‘,mcp....1f., Qa 0 moalic installation vaincation for attacnotkula
a cM ciw Electrical bilidlilaa04 4111Wklphletikbal KilipairAl shall be *me by ticou.
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