HomeMy WebLinkAbout0151745 - HVAC (replace AC and Furnace) el) CITY OF OSHKOSH No 151745
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 812 HENNESSY ST Owner NICHOLAS S/MELISSA S MAKI Create Date 08/16/2012
Contractor MCM AIR INC Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel I✓f Gas n Oil 7 1 Electric 1 Li Solar I f Solid
System [] New I n Replace i Q Other
ti Forced Air [] Radiant u Steam u A/C u Vent
Electric U Hot Water U Suppl. I I I Con.Burner
Chimney Type O ChimneyA O Chimney B • Direct Vent O Not Applicable
Heat Loss O As Approved O Existing • Not Applicable I Value
BTU Rate b As Per Plan O Variable • Other l Value
Use/Nature SFR/REPLACE NC AND FURNACE,ELECTRICIAN IS SECKAR ELECTRIC **check#23208
of Work
Fees: Valuation $4,800.00 Plan Approval _ $0.00 Permit Fee Paid $82.00
Issued By: 5r1 i.-tj Date 08/16/2012
El Permit Voided Parcel Id#0617230000
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.
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U ity utoshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh.W1.549C6-I trio
Phone(920 -236-5050
las 020.1236-5084 0/HKOf H
HVAC PERMIT APPLICATION
All information after hold categories must be provided.
-Incomplete applications',vitt nor be processed.
• .Application(s)and tee s)can he brought to C-it) Hall,Room 205 or rn ailcd to Inspection Services,P0 I3o8 1128.
Oshkosh W1 54903-1128. Commencing work without permit(s)will result in fees beine doubled or SI-00.00 plus the
normal permit fee.which ever is greater.
OR
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k,•04 Walls this___pr ' oci through your ae.,:'oun! 0
**Advisory-For applicable projects,an Electrical Installation Verification(ETV)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 ETV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
DATE 3-■/,5'/ __.
JOB ADDRESS , Je:3 /42?-4-1
OWNER i))6L&L
CONTRACTOR MCM AIR, INC.
WINNECONNE, WI 54986
CHECK Ed ALL APPLICABLE,
920-582-4402:
UST.CATEGORY
'Mingle Family ElDuplex u!ti-Family DRental DCornmercial DIndustrial
EL-L 2Tias DE lectric OSolid SYSTEM ONew 2epiace
00i1 Dtiolar DOther
TYPE
r<i-reci Air ORadiant DSteam gi<C: ['Vent DElectrie DIlot Water aSuppl, EIL,7on, Burner
IS CHIMNEY 13EINC LINED I2S4)0Yes -LINER.SIZE &MANUFACTURER Flex L
Note,Ail chimue:i s shall be sized per the BTVS hone vented,
CHIMNEY TYPE OCInmney A OChimne■ B 1215irect Vent DOther
HEAT LOSS DA Approved DExisting C/Not Applicable
1341 RA'rE DAs Per Plan Variable- EI(M.her Value
fir "Y•
DESCRIPTION SCOPE OF ALL WORK RE INC DONE P'-e-k -ete--1-- _.4e :9-1.71`
Ala .
00 if) Tex_/3
VALLE(Including labor and materials)$ gaf?"0-294°
ELEC1 FOCAL CONTRACTOR(tor projvcts not requiring an EIV Forgo Seckar Electric
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