HomeMy WebLinkAbout0110293-HVACOSHKOSH
ON THE WATER
Job Address 3120 QUAIL RUN DR
Contractor MCM AIR INC
Fuel I¢1 Gas
System [] New
L~J Forced Air
I IElectric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner PAWEL & JILL GALAZKA
Category 502- Residential-Both
Oil I I¢1 Electric I I J Solar
[] Rep,ace I
Radiant I LJ steamI NC I
I I.I Con. Bumer I
O Not Applicable I
L I Hot Water I L J suppl.
Chimney Type K ~ Chimney A ~.) Chimney B (..~ Direct Vent
Heat Loss ~..~ As Approved (,,~ Existing
BTU Rate Y~,~ AS Per Plan ( ~ Variable
Not Applicable I Value
Other I Value
No 110293
Create Date 06/21/2004
Plan
I [ J Solid
[] Other
~J Vent
Use/Nature fl00 mbtu FA heating system with 4T A/C.
of Work
/
Fees: Valuation ~ $9,500.00
Issued By: I 1 .~1,~
Plan Approval
$0.00 Permit Fee Paid
[] PermitVoided I
$147.50
Date 09/02/2004
Parcelld # 0660190000
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.