HomeMy WebLinkAbout0102956-HVAC (a/c)Job Address
Contractor
Fuel
System
OSHKOSH
ON THE WATER
1640 ALGOMA BLVD
MCM AIR INC
[] New
~j Forced Air
[ I Electdo
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
[] Hot Water
Owner ANN L AUGSBURGER
No 102956
Create Date 07/21/2003
Plan
Category 501 - Residential-Air Conditioning
~il 1 L_] Electric J [] Solar 1 [~olid
[] Rep,ace I E} Other
Radiant j L~ Steam J ~J NC ~ M Vent
] ~ Suppl. ~ I ~ Con. Burner I
ChimneyType K) ChimneyA ~) ChimneyB (.) DirectVent O NotAppiicable I
Heat Lose [, ~ As Approved O Existing ~.~ Not Applicable I Value 0
BTU Rate ~..~ As Per Plan ~1 Variable (, _~ Other J Value
Use/Nature SFP,/Install 24m btu 2-ton NC. *EIV form from Sacker Electric.
of Work
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $33.50
Issued By: Date 07/21/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 6122 COUNTY ROAD M
Agen~Owner
WINNECONNE
54986 -9780 Telephone Number
(92O) 5824402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of ~
D/vi~inn of~on Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
JUL Z1 200.3
HVAC PERMIT A~t~ICJ~.
All ~o~fion ~ ~[~'~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or marled to Inspeot/~ ~, ~ Box 1128,
Oshkosh WI 54903-1128., Commencing work without l~.~,;t(s) will result in feesbeing doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor varticioattng in the ~ermtt fee Account System and have adeauate £und$. check here
if you want this t~rocessed through your account
so~ ~D=SS I 4, q~ O A 1 q~ o w~c~
CH I~:CK [] ~ APPLICABLE
USE CATEGORY
~Single Family E]Duplcx ElMulfi-Family
I-IRerRa] I-IComm~r~ial rllndllsttial
FUEL ]~Gas OEleotfic OSolid SYSTEM O'N~' c~l~R~laoe~/
EIOil nSolar I~Other A_ ('~ C~
TYPE
[3Forced Air rqRadiant nsteam 12~A/C OVent OElcctfic r'lHot Water riSuppl. I-ICon. Burner
IS CHI~N'Ey BEING LINED {~{~qo OYes - LINER SIR
Note: All chimneys shall be sized per thc BTU's being v~nted.
& MANUFA~
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChirnncy A
OAs Approved
OAs Per Plan
DChim%y B
[~xisting ·
~Variable
/2Direct Vent
Applicable
Value
mother
DESCRIFI'ION OF A~ WORK BEING DONE
VALUE (Including labor and aH mat,rial, including light fixtures) $ I 9 0 0
~.LEcnucAL co~rr~cro~ 3e ~k q ~- [ l ~ ~
~-For applicable projects, an Electric Installation Verification form, signed by the El~oirlcal Contractor, must b~
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
Electric Installation Verification
I hcr~b), v~f-7 ~ wo~ will. b, performed byau employee of this conap,any ~d fmlx, verify
t~ .r~:cti~n I ir~t~r~,~ion will be done h coml,!!,,,ce with nmau.~urer
requ~.
6'~,',,t ~ of Officer) (D~)