HomeMy WebLinkAbout0103322-HVAC
103322
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
FOX CITIES CONST
Job AddressOwner
3490 EICHSTADT RD
Create Date08/05/2003
ContractorMCM AIR INCCategory502 - Residential-BothPlan
OilElectric
üü GasSolarSolid
Fuel
üü NewReplaceOther
System
üü Forced AirRadiantSteamA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
NSFR/ Install 60m btu and ductwork.
of Work
Plan Approval$0.00
Fees: Valuation$4,000.00Permit Fee Paid$65.00
Issued By:Date08/05/2003
Permit Voided
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.
SignatureDate
Agent/Owner
Address6122 COUNTY ROAD MWINNECONNETelephone Number(920) 582-4402
WI54986-9780
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.
OSHKOSH
ON THE WATER
.lob Address 3490 EICHSTADT RD
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 FOX CITIES CONST
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 IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
L~ Solid
103322
08/05/2003
Other J
Vent J
Use/Nature NSFR/Install 60m btu A/C and ductwork.
of Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $65.00
Issued By: Date 08/05/2003
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.
City of Oshkosh
Division of Impecgon 5crvices
P.O. Box 1 !30
Oshkosh, WI 54903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information aflcr bold cate~orics mu~ ~- .a~C~l-r ~,.-
Incomplete applicatiom vail nc~~ ,,,~7!~~ VI'
u~V£LOP~ENT
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Scrviccs, PO Box 1128,
Oshkosh WI 54903-1128.. Commencing work without permit(s) will result in fc~s l:~ing doubled or $100.00 plus thc
normal peru,it fee, which ever is greater~
OR
I£vou are a contractor ~articivatin~ in the ~ermtt £ee .4ccount Swtem and have adeouate £und$. chech here
if you want this z*roccssed through your account
DATE
CHECK El ALL APPLICABLE
USE CATEGORY
lEIS' gleEamily; ' r ' "' E]Industrial
m .: .ODup!e~/: ~l~-_Famijy I-1Rental . [-IComm~,ial .:~ ' :" .~
FUEL ~ DEl~ric DSolid SYSTEM lI~lew fireplace
DOff ~ ? ' DSolar : ' OOther .... -
TYPE
l~Forced Air r'lRadiant I-ISteam r'lA/C OVent OEleclric OHot Water ElSuppl. ECon. Burner
IS (d~ BEING LINED r'lNo ~Yes - LINER SIZE & MAlqUFAc;ftlRER
Note: All Chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimncy A
[~La.s Approved
IE1As Per Plan
OChinm~7 B
gm. Existing .
r'lvariablc
ElDirect V~t
EINot Applicable
OOther Valu~
DESCRIPTION OF AI,'. WORK BEING
VALUE (Including labor and .1! nmterl~ls including light fixtures) $ '
ELECTRICAL CONTRACTOR ~ U~ / a ~-- Y' k ~-~ /
:. I3 ~0r applicable projects an Electric Installation Vcrification form;signed 5y thc Electrical C6n~t0r, must be
. .attached. Ifn6t attached Or n6t applicablc,a separate Electrical Permit is required.
9/02