HomeMy WebLinkAbout0092753-HVAC
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OSHKOSH
ON THE WATER
Job Address 2230 HICKORY CT
CITY OF OSHKOSH
No
92753
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES MATHWIG
Create Date 01/17/2002
Contractor MCM AIR INC
Fuel 1,(1 Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type r) Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 502 - Residential-Both
1 Electric
Plan
U Solar
U Solid
D Replace
U Steam
U Suppl.
e Direct Vent
~..r:-.-__
~ AlC U Vent
LI Con. Burner
() Not Applicable
,I
() Not Applicable
() Other
Value
o
Value
Use/Nature NSFRllnstall new HVAC system.
of Work
Fees: Valuation
$6,400.00
Plan Approval
$0.00
Permit Fee Paid
$101.00
Issued By: K '(Y\
Date 02/21/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M
WINNECONNE WI 54986 - 9780
Telephone Number (920) 582-4402
~
~
1: 10 I
"
Diviaioo of Ia.p.ctioo Service.
US Church "VeIN.
'.0. aox 1130
Oabkoeb. WI "'03-1130
Pax . ('~O) 23'-50"
'hODe ('20) 23'-50"
::tt: I '3tQ'S <6
#101-
HVAC PERMJ:T APPLJ:CATJ:ON
All field./information aft.r bold categori.. mu.t b. provid.d.
Incomplet. application. will not b. proc....d.
(J.a 30.') \\ DAD 2 - 7 - 0 2
JOB ADDRESS Lo-T" it 30(0' \-\ ~ c.. ko It y Ct
OWNER C) M B u. ~8 e_ "{' s .~~ 'f J \ Vn i- \\A a 'r (~ M..Q'\ hW"3
CONTRACTOR ty\ C \\1\ A ('f) I V\ c.. Q,', . '
CIRCLB ALL APPLICABLB
USB CATJ:GORY @NGLE FAMILY:) DUPLEX .
FUEL ~ OIL
@)
(FORCED A~ RADIANT
ELECTRIC HOT WATER
IS CH:t'MNXY BBING LnmD Ne> LINER SIZE
Note: All chimney. .hall be .ized per the BTU'. b.ing v.nted.
CHIHNBY roB CHIMNEY A (" CHIMNEY B (piiEdiC-VENT ~
HEAT LOSS ~ APPRO~ . EXISTING NOT APPLICABLE
BTU RATJ: QSPER Pl.AN) VARIABLE OTHER VALy-E
....
MULTI-FI.MILY
COMMERCIAL
INDUSTRIAL
ELECTRIC
SOLAR
SOLID
SYSTEM
REPLACE
OTHER
TYPB
STEAM
~/~
VENT
',SUP?L.
CON. BURNER
MANUFACTURER
"-=-
OTHER
NAT1J'RB 01' WOJlx:
~,
VAL'01l: (Includ:1ng labor and mater:1~l~) '$ (0 t+ 0 L;. ,
ELBCTRIC1..r~ c(\N"rRJ.CTOR B u ~ \ d e'f I S E \ f: c..t'{' f c \ a V>
Electrical i~tallation of new/r.plac.ment equipment .hall b. don. by licenaed
contractor.. :
Valuation
Fees
SO to $1,000.00
$20.00
.
. .
Sl.OOO.Ol to $10,000.00 $20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
l'.
SlO,OOO.Ol~o $25,000.00 $155.00 for first
$10,000.00 plus $1.00 per, $109,.00 valuation or part thereof
Over $25,000.00
$305.00 plus $0.50
per $100.00 valuation or part thereof
#"
· Submit payment with application. Fai~ute.to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.