HomeMy WebLinkAbout0097247-HVAC
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OSHKOSH
ON THE WATER
Job Address 1776 HUNTERS GLEN DR
CITY OF OSHKOSH
No
97247
HVAC PERMIT -APPLICATION AND RECORD
Owner DANIEL J/GINGER LENZ
Create Date 07/09/2002
Contractor MCM AIR INC
Fuel 1,1'1 Gas I Oil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved e) Existing
BTU Rate o As Per Plan e) Variable
Category 502 - Residential-Both
I Electric
o Replace
U Steam
I I SuppL
e) Direct Vent
Plan
U Solar I Solid
o Other
~ AlC U Vent
L I Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
o
Value
Use/Nature NSFR/ Install 60m btu furnace, 36m btu AlC & ductwork.
of Work
Fees: Valuation
Issued By: -t<- \'Yl
$6,800.00
Plan Approval
$0.00
Permit Fee Paid
$107.00
Date 09/12/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number (920) 582-4402
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"":
".
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pbone(920)236-5050
Fax (920) 236-5084
~
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HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, R~m 205 or mailed to Inspection.Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) 'N.iU.~t in.fees.being doubled or Sloo.oo plus the
nonnal pennit fee, which ever is greater.
OR
:~ :;: ~:en~ t~~:~;:::;$:~r:~~~ua:~n:o~nr ~:c::~~if!Jee Ac.co~nt Svstem and have adeauate funds. check here
DATE q- \ \ -Oz-
JOB ADDRESS \1 'llo \-\0kX1t:\G5 G\....E lJ
OWNER 'DA~ \ E L L~N Z-
CONTRAcrOR MOMM\IIC.
6122 Count!t Rtf...
CHECK &l ALL APPLICABLE. Winneconne, wr 54986
USE CA TEGOlty
~ingle Family DDuplex DMulti-Family
'"
5<62-\.\40 Z
. I
DRental
o Commercial
o Industrial
FUEL
l8Gas
DOH
OEJectric . OSolid
OSolar
SYSTEM
~cw
OOther
OReplace
~E. .
~orced Air ORadiant DSteam~A/C DVent DElectric OHotWater OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ONoOYes - LINER SIZE & MANUFACTURER
Note: All chinmeys shall be sized per. the BTU's being vented.
CHIMNEY TYPE
IlEA T LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
OExisting
OVariable
[JDirect Vent JOOther p 'Ii C-
ONot AppliCable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE c.Al2.\2-\!2:Q 591-1VPOCDO 001000 ~TU
f-:De.NAGE:: 3S1\i.0Q;l.o ~lt>pOO B'TD Ale Cy DDc,WoE.K.. _
; ,~
i '0
VALUE (Including labor and all materials including Ught fixtures) S 6'000 0
BUI\...\D~g5
ELECTRICAL CONTRAcrOR t: L8C.-r121 (/ A tJ OR 0 Electric Installation VeriOcatlon form attacbcd(JfRcpIaccmcnt)
E/ectrlc4lI1u~lItIliolt 01 fWtIII1ypltlct!IMIU <<tUIJHM1II mall be dOlt. by licased COIfllYlClOrS.
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3/02