HomeMy WebLinkAbout0103629-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 18 FUGLEBERG TRL
Contractor MCM AIR INC
Fuel [~J Gas ~
System ~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner WALTER R R BAHR/ROBERTA K MESSE
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
103629
08/19/2003
Other J
Vent J
Use/Nature CONDO/Install 80m btu furnace and 18m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$77.00
Date 08/20/2003
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.
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 2.36.5050
F~x (920)z~6.sos4 " AUG 3.-w ~ ~x,,J~ ~
HVAC PERMIT APPLICATION:~t;~,~.~_~£~ '
gl hfformtioa ~er ~ola cm~o~¢, -,..~t be ,~;7. :m~m£N'r r~ ,-
· Incomplete applications will not be proceks~"~luRiTy Cl½~,' ~r
. &..cLuptl/l£NT
· Application(s) ~ml fee(s) can be brought to City Hall, Room 205 or mailed to Inspection ,~xvice~, PO Bok 1128,
Oshkosh WI 54903.1128.. Commencing work without l~'mit(s) will result in fees being doubled or $100.00 plus the
nomml l~xi~t fee, which ever is gn~terl
OR
[f YqU cr~ ~ ¢qntractor ~artictvatine in the ~ermit fee ~ccount System and have adeauate funds, check here
if you want this vrocessed throueh Your account [-]
DATE ~' ~ '-(~1~"
MOM AIR INC.
JOB ADDI~SS
OWNER
CONTRACTOR
(..:H ~:CK Iii ALL APPLICABLE
6120 r,,., .,..,.
Winneconne, Wt 54986
inE CATEGORY
gle Family r'lDuplex r'lMulti-Family r'lRe~tal CI Corem ~3~,i rHndBstl'ial
. :. ElElectfic r'lSolid SYSTEM ONcw [~P.,cplacc
rlOil r'lSola~ r'lothcr · .....
TYPE )~
~)~orced Air ORadiant OStcam C OVent ~Electric rIHot Water I-1S~I. FICon. Burner
Note: All chimueys shall be sized per the BTU's being vented.
C~UMNEY TYPE I-tChimney i ElChimncy B r'lDirect V~nt ~Other P ~/C-.
H~:AT LOSS EIA~ Approved OExisting ' ONot Applicable
BTU RATE BAs Per Plan EiVariablc BOther Valuc
DESCRIFIION OF AI.I. WORK BEING DONE ~ f20~O '~, O00 ~;~'%k)
VALUE (Including labor and all materials including light flxt'ur~) $ .g-~<~) o o
. ....
[For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
/attached. If not attached or not applicable a separate Eleetrical Permit is required: ; ' : : _
., 15 ,,o,
Electric Instalhflon Verification