HomeMy WebLinkAbout0103108-HVACOSHKOSH
ON THE WATER
.lob Address 3155 HALLIE HOLLOW 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
Owner THOMAS N RUSCH
Category 502- Residential-Both
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103108
06/10/2003
Other J
Vent J
Use/Nature NSFR/Install 80m btu furnace, 3 ton 36m btu A/C & ductwork.
of Work
Fees: Valuation $6,700.00 Plan Approval $0.00 Permit Fee Paid $105.50
Issued By: Date 07/25/2003
Permit Voided J
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
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.
Photo (920) 236-5O50
Fax (920) 236-5084
HVAC PERMIT APPLI(IJ O IQI IIIT¥
DEVELOPMENT
All iaformafion &tim ~ld ~mg~ ~t ~ ~
OR
ff vou ar~ a contractor varHelva~lna in t~e ~ermit Fee dceount ~wt~m and ~av~ adeauate tund~, c~g~k ~grg
ff vou wanf tM~ vroc~d throu~ vou~ a~c'ount ~ · ,
CO~OR MOM AiR INC,
~IZZ ~ounty Rd M
Winn~onne WI 54986. .
USE CATEGORY
~[~inglc Fnmily ['3Duplex
I-lMulti-Fam~ly I'lRental
OIndustrial
OSuppl. I-ICon. Burner
& MANUFA
CHIMNEY TYPE
It]EAT LOSS
BTU RATE
OChlmn~y A
OAs Approv=d
OAs Per plan
OChimncy B
OF.,xisting .
OVariable
VlDirect Vent
i2Not Applioablo
OOth~r Valu~
DESCRIPTION OF AT.T, WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~"~C30 oo
0 For applicablc projects, an Electric Installation V~'ific, ation form, signed by the Electt~cal Con.actor, must be
attached. If not attached or not applicable, a separat~ Eleotrical Pe~'..;t is rcquir~L