HomeMy WebLinkAbout0133613-HVAC (furnace)/~'~ CITY OF OSHKOSH No 133613
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 241 W 17TH AVE Owner SUSAN M KLOIBER ETAL Create Date 10/20/2008
Contractor MCM AIR INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas ~il ~ Electric Solar Solid
System ~ New J 0/ Replace ~ ~ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimney A - Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Appligble Value
BTU Rate As Per Plan Variable Other Value 70,000
Use/Nature
of Work
EIV SIGNED BY
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $43.00
Issued By: _~~)~~ Date 10/21/2008
Permit Voided Parcel Id # 1403680000
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 starling 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.
Division of Taspectioa Services
": r ~.~'
P.O. Box 1130
Oshkosh, WI 54903-1130 ~ ~ T 2 ~ 2 ~ ~ 8
Phone (920) 236-SOSO
Fax (920) 236-5084 D~~`~=.~ + "~«r~`-i' £~F
COMM~1fVi i `t~ ;~~~V~~G~P~EI~I"
HVAC PERMIT EAPPUC~ATIONIS~cnc N ~ W~
All iafortastioo after bold categories taut be provided.
lncotaplete applicatiozu will not be processed,
~3
• Application(s) and fee(s) can be brought to City Ball. Room 205 or trailed to Inspection Servicts, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without peratit(a) wiU t+esult in fees being doubled or S100.00 plu;
norlrlal permit fcc, which ever is greater.
OR
JOB ADDRESS ~ ~ VII ~ ~ ~ ~ ,~
OWNER ~ C:~ e_ `f "c~. `'
DATE18 ~ 1 Q / O ~
CON'T'RACTOR ~ AIR, INC. 6122 COUIJPY RQAD M, WINND001`WE, WI 54986
-4402 FAX 582-0136
CIiECK ®ALL APPLICABLE
USE CATEGORY
~Singlc Family ODuplcx OMulti-Family Rental OCommercia] OIndustrial
• FUEL Gas CJElectric OSolid SYSTEM ONew ~$cplacc
^Oil OSolar ~Otha
TYPE
~Forccd Air ORadiant OStcam DAIC OVent QElectlic OFIot Water OSuppl.OCon. Butner
IS CHDVIIVEY BEING LINED ~No OYcs -LINER SIZE_____ & MANUFACIZJRER
Note: All chimneys shall be sized per•the B'TU's beia~ vented.
CHIMNEY TYPE OChimney A OChirrauy B ODiroct Vent ~O~thcr ~ ~/ ~i
SEAT LOSS OAs Approved 1T~xisting QNot Applicable
BTU RATE OAs Per Plan OVariableOther Value
DESCRIPTION OF ALL WORK BEING
VALUE (Including labor and all matcrlab lnduding Ugbt ti><tures) S 4~~ ~ ~ ~ ~~ .
ELECTRICAL CONTRACTORc~
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