HomeMy WebLinkAbout0098832-HVAC CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
OSHKOSH
ON THE WATER
Job Address
Contractor Category 502- Residential-Both
Fuel b~J Gas I L~ Oil [ ~J Electric I L~ Solar
system [] New I [] Replace I
L~J Forced Air j [~ Radiant I [_~ Steam I ~J NC I
~ Electdc I [~ Hot Water I U Suppl. I ~ Con. Bumer I
Chimney Type ~ Chimney A (.~ Chimney B (_~ Direct Vent ~1 Not Applicable I
Heat Loss ~.~ As Approved ~ Existing ~t Not Applicable I Value
BTU Rate ~.~ As Per Plan ~ Variable ~I Other I Value
836 DELAWARE ST
MCM AIR INC
Owner DEL TRI3-r
No 98832
Create Date 10/31/2002
Plan
~-Solid
[] Other
Vent
Use/Natureof Work NSFPJ Install 60m btu furnace, 1.5 T/18m btu NC, and ductwork.
FeeS: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided J
$74.00
Date 11/27/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 6122 COUNTY ROAD M
Agent/Owner
WINNECONNE
WI 54986 -9780 Telephone Number
(920) 582-4402
ON THE WATER
Application(s) -nd fee(s) c~m be brought to City Hall, R~iji~l~~Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without l~'riiiJ(s) will result in fees berg doubled or $100:00 plus the
normal permit fee, which ever is greater.
If_you arc ~t contractor varticipatin~_ in the'Permi{ fee ,4ccount System and have'adeauate funds, check here
if you want this.processed through your account
JOB ADDRESS ~$:7~ (/~ D~ U ~ ~/x3~ ~E., ~'~
DATE
CONTRACTOR MCM AIR, INC 6122 COUNTY RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
CI:~,CK [] ALL APPLICABLE :: .';.: ,~..::./.., ~-. ::',.::. ~. -...
~Single Family .E]Duplex E]Mulfi,Family [2Rental -
FUEL ,~JaS DElectric I-ISOlid SYSTEM
I"lOil l-lSolar
I-IComm~'cial .~]Industrial
ed Air ORadiant I-ISteam DVent Fl£1eotric
IS CI~MNEY BEING IJNED ~No I-lYes - LINER SIZE ·
Note: All chimneys shall be s/zed per the BTU'$ being vented.
DHot Water CISuppl. I-lC. on. Burner
& MANUFA~
CHIMNEY TYPE OChinmcy A I-I~nmcy B . ODircct Vent [~l(Other ~5 q C.
tIEAT LOSS I-lAs Approved I-IExisting DNot Applicable
BTU RATE D-lAs Per Plan ClVariable I-lather Value
DESCRIFFION OF ALL WORK BEING DONE Q~IE~ 5%i~tT~O/DO-~ /c<3,0oo ~-3TO
~U~i,~oF~ v ~d.V..O0t~ loST I~,0oo IS,TO /'q/C o~ DOc.Tu00~W----
~ALUE (Including labor and all materials including light fixture) $ ~'~ (~ OO o,~ .... ::'~ ~:~ ':::
ELEcTRICAL'CoNTRACTOR ...... 6U lU~'[~, S ~ U~C,T {~-~(-* ' ~ ~
· ,' [] For applicable projeCts,' an Electric Installation Verification form, signed by the EleCtrical Conlxactor, must be
attached. If not attached or not applicable, a separate Electrical P~-mit is required.