HomeMy WebLinkAbout0102405-HVAC (a/c)OSHROSH
ON THE WATER
Job Address 3459 EICHSTADT RD
Contractor MCM AIR INC
Fuel I¢'1 Gas
System [] New
~J Forced Air
~' Electric
ChimneyType ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~1 As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No t02405
Radiant
b,,, I Hot Water
Chimney B
(, ~ Existing
(~ ~ Vadable
Owner FOX CITIES CONSTRUCTION Create Date 06/24/2003
Category 501 - Residential-Air Conditioning Plan
b,,J Electric [~olar I I ISOlid
[] Replace J [] Other
Id Steam L~J NC I I~ Vent
[~ppL ~ Con. Burner 1
() Dire~Vent ~ Not Appli~ble [
~ Not Appli~ble ~ Value 0
( ) O~er I Value
Use/Nature [SFR/Install 2.5 ton 30m btu Carrier NC.
of Work
/
Fees: Valuation
Issued By:
$1,400.00 Plan Approval $0.00 Permit Fee Paid
$26.00
Date 06/24/2003
[] Permit Voided
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 84986 -9780 Telephone Number (920) 5824402
cit~ of Osht~ ~6--
Divisiod of Inspection Serv/ces
B.O. Box 1130
Oshkosh, WI 54903-I 130
Pbon¢ (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OJ - Of
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128; Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor t~articivatin~ in the Permit fee .4ccount System and have adeauaf¢ fisn~$, cheek here
i£vou want this vrocessed throu~h vour account [-~ T~!G~,~vED
JOBADDRESS S~5 ~
OW~R~ ~f
CONTRACTOR MCM AIR,
ZNC. 6Z2: COUNT~ R~ M WIN~CONNE, ~EpARy~3ENTOF
~a2-4402 ~'~Q~i~F~LO~
CH~CK [] ALT, APPLICABLE
USE CATEGORY
~].Single Family [2Duplex
[2Multi-FamilY [2Rental
[2Commercial
[2Industrial
FUEL l~]Gas [3Electric [3Solid SYSTEM
[3Oil [2Solar
TYPE
[3Forced Air [3Radiant DStcam ~(A/C [2Vent [2Elec~c
mHot Water [2Suppl. [3Con. Burner
IS CItIlVllVEY BEING LINED [~o [3Yes - LINER SIZE
Note: All chimucys shall b~ sized p~r the BTU's beiag vetoed.
&MANUFACTURER
ChuMNEY TYPE
ttEAT LOSS
BTU RATE
EIChimney A
~.s Approved
~ Per Plan
[3Chimney B
r'lE. xisting '
[3Variable
[2Direct Vent
[3Not Applicable
[3Other Value
DESCRIPTION OF ALL WORK BEING DONE *' AS Cc / I CZO
VALUE (Including labor and nH materials incindin: il:hr fl,xtur~) $ I /'~ 0 (~
[3 For applicable projects, an Electric Installation Verification form, signed by the ElecMcal Conltactor, must be
attached. If not attached or not applicable, a separate Electrical P~'a~it is required.