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HomeMy WebLinkAbout0146581-HVAC C i) CITY OF OSHKOSH No 146581 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2580 W 9TH AVE Owner CALVARY LUTHERAN CHURCH Create Date 06/28/2011 Contractor MCM AIR INC Category 510 - Ind. & Comm - Heating & Ventilating Plan Inspector John Zarate Fuel U Gas U Oil Electric Solar U Solid System ❑ New ❑ Replace I n Other U Forced Air Li Radiant u Steam J NC u Vent Li Electric j Hot Water J Suppl. U Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 10 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature COMM / INSTALL RENEWAIRE ENERGY RECOVERY VENTILATION * *check #22544 of Work Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $37.00 Issued By: Date 06/28/2011 El Permit Voided I Parcel Id # 0613600000 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 of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 37100 Phone (920) 236 -5050 t l Fax (920) 236 -5084 OJHKOJH ON THE WATER HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and fee(s) can be 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE / ? / • l / JOB ADDRESS oZ 58 1.0 9 LZu,.. OWNER C a !vary Lu t eran ChtzAdi RECEIVED CONTRACTOR MCM AIR INC. JUN 2 3 2011 6122 Caunty Rd M Winneconne, WI 54986 DEPARTMENT OF CHECK , COMM ALL APPLICABLE Q� p 5� • 41410 a UNITY DEVELOPMENT INSPECTION SERVICES DIVISION USE CATEGORY ❑ Single Family ❑Duplex ❑Multi- Family [Mental ©"Commercial ❑Industrial FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace DOil ❑Solar 8'Other TYPE ❑Forced Air ❑Radiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED, o DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent DOther HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan DVariable ❑Other Value Q DESCRIPTION / SCOPE OF ALL W RK BEING DONE_ / k ova o ire /ta - v VALUE (Including labor and materials) $ { 160 160 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07