HomeMy WebLinkAbout0093290-HVAC
~' '; ~-/~~-
G
OSHKOSH
ON THE WATER
Job Address 1853 HUBBARD ST
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
93290
Owner EDWARD JUNGWIRTH
Create Date 03/05/2002
Category 502 - Residential-Both
I J Electric
D Replace
U Steam
1 1 Suppl.
() Direct Vent
Plan
Contractor MCM AIR INC
Fuel 1,(1 Gas I J Oil
System o New
~ Forced Air U Radiant
1 I Electric 1 1 Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss ~) As Approved () Existing
BTU Rate ~) As Per Plan () Variable
I Solar
I Solid
D Other
U Vent
~ AlC
I J Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
o
Value
Use/Nature NSFRllnstall 60m BTU furnace, 18m BTU AlC & ductwork.
of Work
Fees: Valuation
$4,400.00
Plan Approval
$0.00
Permit Fee Paid
$71.00
Issued By:
I<VV'
Date 03/28/2002
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
-:
~ J,~,
~
~
Division of Inspection Services
215 Church Avenue
P.O" Box 1130
Oshkosh. WI 54903-1130
Pax . (920) 236-5084
Phone (920) 236-5048
All
HVAC PERMIT APPL~CAT~ON
fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
g I 2.7 10 2-
JOB ADDRESS \ CdS':) 'r\\)'PJRAQD
OWNER DEL T~1\ CONST.
SYSTEM
. MOM AIR INC.
6122 County Rd M
. Winneconne, WI 54986 SgZ-L\40c
DUPLEX
ELECTRIC
MULTI-FAMILY COMMERCIAL INDUSTRIAL
SOLAR SOLID
OTHER
STEAM B VENT
SUPPL. CON. BURNER'
CONTRACTOR
CIRCLE ALL APPLICABLE
USE CATEGORY ~
FUEL ~. OIL
REPLACE
'TYPE
ELECTRIC
RADIANT
HOT WATER
IS CHrKNEYBEING LINED LINER SIZE MANUFAcroRER
Note: All chimneys shall be sized per the BTU's being vented. . ,,- e ;:, .~; .
CHIMNEY .TYPE CHIMNEY' A CHIMNEY B DIRECT VENT . _ OTHER?'\J L
.~' ~,' "..; \.J _ ..--, ~~ ",.'~ _-"
HEAT LOSS AS APPROVED . EXISTING NOT APPLICABLE
BTU RATE
. AS PER PLAN
VARIABLE
OTHER VALYE
NATURE OF WORX: D" _ ,..".....,.,,-, \./
Cl~e:;c-\Ef.2.. S81'-'l'iU~'ObO 0{\C:CC Gr~ ~DCNAL.e- " <::4- Uc \ \i,--,--,~.~_
\\ S<6 c'\!-C 0 I 5 \51000 B\ \.) 00 Ale
VALUE (Including labor and .materials) . $ l\400: \
ELECTRICl..r. CONTRACTOR ~\) \ L \) E\C.S E '- t:G T\2.. \ C , A \'\J
Electrical installation~new/replacement equipment shall be done by licensed
contractors. :
Valuation
$0 to $1,000.00.
'4.__1
Fees
$20.00 + f6IC6:: Iloe
.
.
$1,000.01 to $10,000.00 $20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00__."."._"__.".__. .._.$155. 00 for first
" _ ~10,OOO. 00 plus $1. 00 per $100.. 00 v~luatiorL:, or pa::tthereof
Over $25,00.0.00..".
,.....""" "':::~":.'~:::, ".L,/~~ '.
--.-,......--.____.11
..$305.00 plus $0.50.
per. $10().()() valua.~~pn <?:rpa;:tfhereof
. .....:. . .... j> c. . ,
~ . .", < <.: ..,~';.. ,.
· . 'Submit payment ""ith application." Fa.i1:ut'e, to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.