HomeMy WebLinkAbout0140576-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 140576
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2405 NICOLE CT Owner CHARLES W /SUSAN A RADTKE Create Date 04/20/2010
Contractor MCM AIR INC Category 502 - Residential -Both Plan
Fuel U Gas 1 1 Oil 1 Electric 1 Solar 1 1 Solid
System n New 1 n Replace n Other
u Forced Air u Radiant ❑ Steam ✓j NC ❑ Vent
1 Electric 1 1 Hot Water 1 Suppl. U Con. Burner
Chimney Type 7 , r ) Chimney A () Chimney B • Direct Vent 0 Not Applicable
Heat Loss J As Approved () Existing • Not Applicable Value
BTU Rate K ) As Per Plan 0 Variable • Other
Value
Use /Nature SFR / REPLACE 80,000 BTU FURNACE AND 3 TON A/C, EIV SIGNED BY SECKAR ELECTRIC **check #21728
of Work
Fees: Valuationn $ l 00.00 Plan Approval $0.00 Permit Fee Paid $112.00
Issued By: 1
Date 04 /20/2010
❑ Permit Voided I Parcel Id # 0615350000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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.
URI 01 tMEM
Division of Iaspoctioa Services
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Boot 1130
Osblcosb, WI S4903-1130
rboss (920) 236 -5050
Fax (920) 236.50$4 •jL> j•J MI
HVAC PERMIT APPLICATION R C B
AU informatics Orr bold atssoriee mast be provided.
incompIste applicadous win sot be processed. APR 2 0 2010
• Application(s) and • fees) io • _ ' _ 'ry • _
can be brought City Hall. Room 205 a mailed to , • . „ :aim- ' °,' , + 28.
;
Cow Mrodcwithoutpaaait( :) rvi�l result i - .. . ,�, ,� . , J �
Oshkosh WI 54903 -1128. A ,, m
normal permit fee, which ever is greater.
OR
If vev went this ',recessed three.") veer eeeeeen'r
DATE
(� JOB ADDRESS L, 6 DT K E
0 2
OWNER N5! COLE CT
CONTRACTOR POI AIR, INC. 6122 COUNTY ROAD H, WINNECONE, WI 54986
o62 -4402 FAX 582 - 0136
CHECK ® ALL APPLICABLE
USE CATEGORY
RSinglc Family ODuplex OMulti -Fa roily Oltenia' 0Commcrcia1 Olndusnriat
•
• . FUEL blOas OElectric OSolid SYSTEM ONew Oteplaacc •
OOil OSotar 00ther
,DrPE
oa^ced Aii ORadiautt OStam A/C DVolt QEloct is ORot Water OSuppl.00oo. Bu:acr
IS CHIMNEY BEING LINED )i1(1.10 OYa . LINER SIZE & MANUFACTURER,
Note•. All chimneys shall be sized peril* BTU's Wag vented
CHIMNEY TYPE OChimncy A OCbimstoy BEAT LOSS OM Approved B Vest OOther
BTU RATE OM Per Plan O OVa� sable 00th Value
DESCRIPTION OF ALL WORK BEING DONE ap'' 22-\ 6'e 1-)■ V GO `Q C) 2,O, COD STY.)
e..1■1 C. E 2'1 A PA r7 3bA ToQ 3(0 , COO (3 t- A K.-
VALUE (Including labor and all matertals'lacludiag light futures); 6800
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