HomeMy WebLinkAbout0143271-HVAC l CITY OF OSHKOSH No 143271
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1150 LAAGER LN Owner GARY J /CYNTHIA L KRUG Create Date 09/23/2010
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Fuel 121 Gas Oil ❑ Electric ❑ Solar Solid
System t=1 New [11 Replace Q Other
❑ Forced Air II Radiant ❑ Steam ❑ NC 1 Vent
❑ Electric ❑ Water !, ❑ Suppl. ❑ Con. Burner -,
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved (xisting • Not Applicable Value
BTU Rate 0 As Per Plan V riable 3 Other Value
Use /Nature .SFR / DUCTWORK TO ADDITION * *check #22018
of Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: 2,1)15f-"' Date 09/23/2010
❑ Permit Voided , Parcel Id # 1310600000
In the performance of this work, 1 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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Oshkosh. WI 54903 -1130
noes (920) 2364050
Tax (920) 236 -50$4
M 4 VA
HVAC PERMIT APPUCATION
All tafoemstbs altar bold tussocks strut Do provided_
lacomplsss applications '6411 not be pcoccised.
• Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspectioa Saviccs, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing watt without permit(s) will result it fees being doubled or S100.00 plu:
normal permit fee, which over is greater.
OR
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CONTRACTOR POI AIR. INC. 6122 COUNTY ROAD H, WI13taIE, WI 54986
132 -4402 FAX 582 - 0136
CHECK Bl ALL APPLICABLE
USE CATEGORY
trSin81e Family °Duplex °Multi- Family C1Rcntal °Commercial °Indust:nal
• • FUEL lit °Electric °Solid SYSTEM °New f Rcplacc
°Oil °Solar 5310t
ha Due we)
k
TYPE .
°Forced Ali °Radiant °Steam DAJC Meat gEloct is °Hot Water OSupp1.00on. Buena
1S CBTMNEY BEING LINED $o DYcs - LINER SIZE & MANUFACTURER
Now All chimacys stall be sized paths BTU's being vested.
CHIMNEY TYPE °Chimney A °Chiaascy B °Direct Vent OOthcr
IEIZAT LOSS OAs Approved °Exisnrg °Not Applicable
BTU RATE DAs Pcr Plan °Variable OOtha Value
DESCRIPTION OF ALL WORK BUNG DONE )u c ` tC3 (Lad 4 t 10 kl
•
VALUE (Iacludlnt labor sad all tnatuials•ladudla= 11Lht lb:tures) rot -10 —
• ELECTRICAL CONTRACTOR 1 � j4, Q$ 0 Eloctric lssull tlea Vsrtli arson t .rm a
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