HomeMy WebLinkAbout0143909-HVAC I CITY OF OSHKOSH No 143909
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 409 ALGOMA BLVD Owner SANDYS OF OSHKOSH INC Create Date 11/02/2010
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Fuel IJ Gas J Oil J Electric Li Solar Li Solid I
System ❑ New I ❑ Replace —] Other
Li Forced Air LJ Radiant J Steam HI A/C J Vent
Li Electric J Hot Water 1 Li Suppl. Li Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 7 , ) As Approved () Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature Hardees / Remove and install existing grilles.
of Work
Fees: Valuation $975.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: v Date 11/02/2010
❑ Permit Voided Parcel Id # 0102080000
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.
� a s 10 / der
�-... vare rrrs*.■■• JG“ v
TA. Salt 1130 6,00
Oa>�icoak W1 $4903-1130 4160,
?boas 020)236.50S0
Tax (!20) 23640Se
HVAC PERMCt APPUCATION
MI information altar bole cuegosi.s 'Mg be provided
Incomplete applications will not be pcocc:scd`
• Application(s) and fcc(s) can be brought to Qty Hill, Room 205 a nailed to Inspcctian Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commeneing work without permit(s) will fault in fees being doubled or 5100.00 Or
normal permit !cc, which ever is grata.
OR
if view weal Ala areferred rhrevrbyevr ecesvafl •
DATE /O'=1//U
JOB ADDRESS 5'Gq A/cyG' "' &id
OWNER //a 11G l° s
CONTRACTOR teri AIR, INC. 6122 COMM ROAD H, WItII JE, WI 54986
t12 - 4402 FAX 582 -0136
CHECK ® ALL APPLICABLE
USE CATEGORY
OSing1e Family ODuplcx OMu1ti- Family QRcntal ce&rnmcrciLl Olnduscsia.1
• . FULL OGas Electric OSolid SYSTEM ONcw ORcplacc
0O0 OSolar DOtha
L
Forted Aii ORadiant OStum OA/C DVcat C:lIIocttic Mot Water OSuppl.00on. Bvma
IS CED4 EY BEING LINED DYcs - LINER SIZE & MANUF ACTUREik
Now An clutancys 11sa11 be sized pa•tbs BTU's being vented.
caz? ILY TYPE 0C A OChiaatcy B ODiroct Vcnt eCthcr
BEAT LOSS DAs Approved OFxisting ONot Applicable
BTU RATE Oaks Per Plan OVari,able DOtha Value
DESCRIPTION OF ALL WORK BUNG DONE PVb1DUt '4 1,11
561111Es
•
VALUE (Including tabor and all materials' including ULht Oa:tures) 5 q75
. ELECTRICAL CONTRACTOR iuti.e Q$ O Electric lastallawa Verification term attac►.a(vtt,q
[l.iierl 4uulla'L- fiarrftdrt Sq%.lrs., 11.1 ►r f.• by G
RECEIVED
NOV 0 2 2010
DEPRR N TENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION