HomeMy WebLinkAbout0103856-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 3453 EICHSTADT RD
Contractor MCM AIR INC
Fuel [~J Gas ~
System [~J New
[~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner FOX CITIES CONSTRUCTION
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss IO As Approved
BTU Rate IO As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
103856
09/02/2003
Other
Vent J
Use/Nature SFR/Add Carrier 24m btu A/C.
of Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$24.50
Date 09/02/2003
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.
City of Oshkosh
Division of Impecfion Serv/ces
P,O. Box 1130
Oshkosh, WI 54903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
HVAC PERI, IT APPLICATIO~ A~ ~ 9 ~00~
~o~]m ,~c,~o= ~ ~ot ~ ~ DEPARTMENT OF
· Appli~fi~(s) ~d f~s) ~ be ~ou~t ~ Ci~ ~1, R~m 205 ~ ~m ~~~~NT
Os~osh ~ 54903-1128.. ~c~g w~k ~out ~s) ~I1 m~t ~ f~ ~ do~l~ or $1~.~ pl~ ~
noel ~t fee, wMch ~ is ~at~i
OR
{f yqu ere a contractor vartici~attn~ tn the ~ermit ~ee ~ccount ~vste~ and have adeouate ~unds. chec~ here
~ want this ~rocessed through your account ~
co r croR IV\ C./\^
CHECK li~ ALL APPLICABLE
USE CATEGORY
[~ingle Family E]Duplex rlMulfi-Family
ElRental r']Comm~nl r[Indllstrial
FUEL [l~3as ElEleciric r'lSolid SYSTEM
ElOil mSolar
TYPE
gaForcedAir EIRadiant ElStcam {~A/C ~Vent I~Eleclric rlHotWater ElSuppl. I-ICon. Burner
IS CH iMlqEy BEING LINED J~lo r'lYes - LINER Sim
Note: All chimneys shall be sized p~r th~ BTU's b~ing vonted.
& I~ANUFA~'i'ORER
CHIMNEY TYPE ElCbirrmey A r'lC'himney B r3Direct Vent [~Other
HEAT LOSS IiKAs Approved ElExisting ' rlNot Applicable
BTU RATE [NAs Per Plan r~Variable ~Other Value
DESCRIPTION OF AI.L WORK BEI~G DONE ]~Vdd t~ Ot ~\ rl ~ ~
VALUE (Including labor and all materials includin: light flxtm'e~)
12 For applicable projects, an Electric Installation V~ification form, signed by the Eleotrlcal Contractor, must be
attached. If not attached or not applicable, a s~aarat¢ El¢otrieal Pff,ssit ia required.
9/02