HomeMy WebLinkAbout0099742 HOSHKOSH
ON THE WATER
.lob Address 2371 2375 PATRIOT LN
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
Radiant
Hot Water
Owner
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99742
02/07/2003
Other
Vent J
Use/Nature
of Work
Duplex- 2375 side
only/Install ductwork for the basement.
Fees: Valuation
Issued By:
$2,800.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$47.00
Date 02/10/2003
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
City of
Divi~i0- ot Iml~ctio- S~wic~
P.O. Box 1130
Oshkosh, 'WI 54903-1 I30
Phone (920) 236-5O50
Fax (920) 236-5084
FEB 1 0 2003
HVAC PERMIT ]~R~LH~,]~ON
Incomplete ~pplicnfions will not be processed.
ON THE WATEI~
· Application(s) and f~(s) can b~ brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Commencing work without permits) will result in fees ~ doubled or $100..00 pl~ the
normal p~'mit f~, which ~ver is greater.
If you are a contractor vartlcivatin~ in the'hermit' fee dccount System and haVe'adeqUate funds, check here
ff vou want this t~rocesSed through V°ur acc~un~ I'~ '
DATE ~-~-70~
~OBADDm~SS 237.~ ~Sc~?rto-~ Lawe-
CONTIL~CTORMCM AIRr INC 6122 COUNTY RD M WINNECONNE, WI 54986 582-4402 FAX 582'0136-
uSE CA~RY ~';'" =' :' ' ~....x...,
QS~e F~ly ........ ~upl~, QM~6,F~ly QR~ .......... Q~mm~ Q~d~
FUEL .... I-l~ .... I'IF.,I~C ElS01id .......... ~~ ........ oNew ............ ~-~'i .............. i
TYPE
F1Forced Air gRadiant VIStcam I"IAJC [3Vent ~Electric VIHot Water ~Suppl. I'lCon. Burner
IS CHIMNEY BEING LINED ~No OYes - LINER SIZE,
Note: All chimneys shall be sized per the BTU'$ being vented.
~Y TYPE
I~AT LOSS
BTU RATE
[:iChinmey A
I-lAs Approved
r'lAs Per Plan
OCbimncy B
gExisting
OVariablc
& MANUFACTURER
ElDireot V~nt
ElNot Applicable
DESCRIPTION OF ALL WORK BEING DONE
EiOth~
i.. :'.:':~J~', ~.~,-~:""~,'-' :,.Z ..~;-L;;s!t,~. .,~., ,. ,.:.._. -,;:-- ~...;~3 ...., '~ ~,..-' ....... ;-~ :-~-~ ~ ' · .'
' '3' 'ii i ~ ~.For ~pplicab]¢ projects, an Electric Installation Verification form, signed by the EleCtrical Contractor, must be
nttnched. If not nttnched or not applicable, n separate Eleclxicnl Permit is required.
9/02