HomeMy WebLinkAbout0098608-(HVAC)OSHKOSH
ON THE WATER
Job Address 1380 JUDY LEE CT
Contractor MCM AIR INC
Fuel ~j Gas I
System [] New
Forced Air J
Electric
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Radiant
Hot Water
Chimney Type ~ Chimney A ~ Chimney B
Heat Loss ~ As Approved (.~ Existing
BTU Rate ~ As Per Plan (_~ Variable
Owner THOMAS N RUSCH
Category 502 - Residential-Both
[~ Electric
[] Replace
~ Steam
~'~ppl.
~ Direct Vent
~ Solar
I Ed Nc I
1 [~--Con. gumer ]
~1~ Not Applicable t
Not Applicable I Value
Other I Value
No 98608
Create Date 10/17/2002
Plan
[~ Solid
[] Other
Vent
Use/Nature NSFPJ Install 60m btu furnace & 24m btu NC.
of Work
Fees: Valuation
Issued By:
$5,400.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided [
$86.00
Date 11/13/2002
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
( 2o) 2 6- o
Fax (920) ~5~
PLICA ON '
HVAC PERM '
· Application(s) and fee(s) can be brought to City HaIL Room 205 or mailed to lnspeotion Services, PO Box 1128,
Oshkosh W1 54903-1128. C~~ work without permit(s) will result in fee~ bein~ doubled or S100:00 plus
normal permit fee, which ever is greater.
OR
/f vo~ are a contractor .arricioarin~ In the'~ermi/'tee ;lccount System and bav'~ ade&~ate funds, check here
~_f y~ want this processed through your account I-]
lOB ADD~ 1 ?~ ~ C~ t I L~O}. k/ L~
CONTRA~ORNCN A'rR~ TNC 61.22
582-4402 FAx
C~-CK [] .aa.T. APPLICABT.~'.
WINNECONNE, WI
582-0136
54986
USE CA~RY
rlDuplex ElMulti-Family ElRmtal rICommorcial .[~]hldlks~a]
FUEL ~ OElcctric OSolid S~STEM ~l~New ORcplace
IDOil OSolar OOtber
TYPE
'[~orccd Air . ORadiant OStcam .~A/C 'ClVcat OElcctric Ell:lot Wat~ OSuppl. ClC~ Burner
IS ~ BEING I.rNF.,D t/~lo OY~s - LINER S~ ·
Not~: All Chimn~ shall be sized l~r th: BTU's ~ whirl.
& MANUFA~
~ TYPE OCh/nmey A OChimn~ B . ~ V~nt
HEAT LOSS ~As Approved OExisting [~lot Applicable
BTU RATE [iiAs Per Plan OVariable OOther V~lu~
V LUE Ondudlng lair and all materials including fight fixtures) $ L~/~ (~
0 For applicable projects,.an £1¢¢tri~ ~ion V~ification f~m, si/ned by the Elet~rical Contraotor, must-be
att~hed. If not attaohed or not applicable, a ~ Eleotrical P~nit is r~quired.