HomeMy WebLinkAbout2001-HVAC
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
90788 '
HVAC PERMIT - APPLICATION AND RECORD
,.
Job Address 436 SUNNYBROOK DR
Owner VIRGINIA L KOCH
Create Date 10/11/2001
Contractor MCM AIR INC
Fuel 1"""1 Gas
System o New
~ Forced Air
I I Electric
Chimney Type U Chimney A
Heat Loss . As Approved
BTU Rate :. As Per Plan
Category 502 - Residential-Both
J Electric
D Replace
U Steam
I I Suppl.
Plan
I I Oil
I
I Solar 1 Solid
D Other
~ AlC U Vent
U Con. Burner
I
~
I
U Radiant
I 1 Hot Water
C) Chimney B
U Existing
() Variable
() Direct Vent () Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature NSFR/ Install 80,000 BTU furnace, dustwork, and 30,000 BTU AlC.
of Work
Fees: Valuation
Issued By: J( tv\
$5,700.00
Plan Approval
$0.00
Permit Fee Paid
$90.50
Date 10/24/2001
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
AgenVOwner
Address
6122 COUNTY ROAD M
WINNECONNE WI 54986 - 9780
Telephone Number (920) 582-4402
ge . 5c.
~' ~
+~
~
Divi.ioa of I~8pectioa Service.
215 Church Aveuue
P.O. Ik>>c 1130
Oahkoah. WI 5.'03-1130
Pax . ('20) 23'-50'.
Phoae ('20) 23'-504'
HVAC PE~T APPLXCATXON
All fields/information after bold categories must be provided.
Incomplete applications will not be proces.ed.
.. DATE J 0 J ~ "3/ () I
JOB ADDRESS .1-+3 to S u h V\ ~b Y' Cd!) k
OWNBR R. ~htv\~ A~~zc. f~ tv, VIi K0C-~
CONTRACTOR _1 ~ ,_ \ A \ ~ _~ t ---.:.. .,--,
CIRCLE ALL APPLICABLE
OSE CATEGORY €GLE ~. DUPLEX'
FUEL ~ OIL ELECTRIC
, SYSTEM e REPLACE
'TYPB @RCED AIR) RADIANT
ELECTRIC HOT WATER
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
SOLAR
SOLID
OTHER
STEAM
.@ VENT
SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU'. being vented.
MANUFACTURER
.
CHIMNEY TYPE
HEAT LOSS
CHIMNEY A
, CHIMNEY B
. EXISTING
DIRECT VENT
NOT APPLICABLE
@)
BTU RATE M PER PLAN VARIABLE OTHER VAL~
NATURll OF WORl!:. I Y\ ~-ra \ ( C-a. ~"i' Ie. r ? J' M)():\ 01f9.~ / &;>0, 000. 8T U A}
~ U r Y'\d ~B d u. c t W 0 Y' k Co. 't Y'- f ~ Y' 3 ~ eke O.::>() 30) coo B T U 1ft ~
VALUE (Includi~g labor and .mat.ri~l.) . $ :5 700 ,
o " \ ~ t. ~ ,
ELBCTRIC1..T~ CC'N'rRACTOR-L2.U \. d ~ 'f' ~ F~ l e Q '(' \ Q, \ G Y\
Electrical inatallation of new!repl&cement equipment shall be done by licensed
contractors. :
Valuation
~
SO to $1,000.00.
$20.00
.
f ~
Over $25,000.00."
$305.00 plus $0.50
per $100.00 valuation or part thereof
.,
· Submit payment with application. Failute'to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.