HomeMy WebLinkAbout0102898-HVACOSHKOSH
ON THE WATER
.lob Address 3975 SANDHILL CT
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner DAN DOWLING
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102898
06/20/2003
Other J
Vent J
Use/Nature NSFR/ Install 100m btu furnace, 3-ton 36m btu A/C, and ductwork.
of Work
Fees: Valuation
Issued By:
$8,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$129.50
Date 07/17/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
C~y of Oshkosh
Division of Inspect/on Scrv/ces
P.O. Box 1130
Os~osh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
· Application(s) and fee(s) ~an be brought to City Hall, Room 205 or mailed to Insln~On Sea6c~s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without t~'mit(s) will r~sult in fees being doubled or $100.00 plus the
normal t~ml~t fee, which ever is greater.
OR
Ir'you are a contractor varticivatine in the ~ermit tee ~lccount System and have adeauate funds, chick hcr~
if you want this vrocessed throueh your aceognt [~
Jo. A D=ss s
CONTRACTOR MCM AIR, INC.
DATE
6122 COUNTY RD M, WINNECONNE, WI 54986
582-4402 FAX 582-0136
CHECK [] ALL APPLICABLE
USZ CATEGORY
mingle Family -EIDupiex aMUlti.F~ly aRental : "
[~Commorcial Clhdustrial
SYSTEM
[3Oil [3Solar
TYPE
l~tForced Air [3Radiant [~St~am ~A/C I-IVent I-1Electric
IS CHIM~NEY BEING LINED ~No [3Yes - LINER SIZE.
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
I-IChimney A
~As Approved
[~.As Per Plan
OChimn~y B
OExisting
OVariable
0Direet Vent
rlNot Applicable
O0ttm- Value
rlHot Water rlSuppl.
& MAlqUFAC~i'ORER
~therP V
I-ICon. Bm'n~r
FOr applicable'projects, an Eleelxic Installation Verification form, signed by th~ Electrical Contractor, must be
attached. If not attached or not applicable, a separat~ Electrical Permit is required.