HomeMy WebLinkAbout0102957-HVAC (a/c)OSHKOSH
ON THE WATER
.lob .Address 850 FREEDOM AVE
Contractor MCM AIR INC Category 501 - Residential-Air Conditioning
Fuel Ivl Gas I o, I Electric r b.J solar
System [] New I [~ Replace I
~j Forced Air ~ ~j Radiant [ LJ steam L~J NC
L~ Electdc J
ChimneyType [.~ ChimneyA
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner DAWN L A WATKINS/WENDY K HERM
No 102957
Create Date 07/21/2003
Plan
~ Solid I
E~Other I
LJ Vent ~
Hot Water I LJ suppl. I L_J con. Burner
Chimney B (...~ Direct Vent O Not Applicable [
Value
Value
Heat Loss O As Approved (.) Existing (. ~ Not Applicable
BTU Rate L~ As Per Plan (~ Vadable (.~ Other
Use/Nature fSFR/Install 24m btu A/C. *EIV form from Seckar Electric. of Work
Fees: Valuation $1,900.00 Plan Approval $0.00
Issued By:
Permit Fee Paid
[] Permit Voided
$33,50
Date 07/21/2003
In the pefformancaofthiswork, I agree to pedormallwork pursuanttorules goveming the descdbedconstruc~ion.
Signature Date
Address 6122 COUNTY ROAD M
AgenFOwner
WINNECONNE
WI 54986 -9780 Telephone Number
(920) 582-4402
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 Oshkosh
Division oflml~Ction Services RECEIVED
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 JUL 2 q 2003
Fax (920) 236-5084 ,,
ENT OE
HVAg PI::RM[T 'I ENT
All information ~ bold ~ : provid~l.
Incompl~e applications will not be pree~sed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspe, otion S~'vi0e~, PO Box 1128,
Oshkosh WI 54903-1128.. Comm~n~ng work without p~mit(s) will r~sult in fees being doubled or $100.00 plus the
normal l~:'mlt fee, which ~ver is greaterl
OR
[£ vou are a contractor vartictvattn~ in tie ~aermit fee .4e¢ount System and have adeauate funds, ch~k
i£ vou want this vrocessed throueh your accoi~U r~
CHECK lEI ALL APPLICABLE
~E CATEGORY
ingle Family [2Duplex ElMulti-Family ElRental ClCommercial ~IndusUial
FUEL J2~oas [2Eleciric EISolid SYSTEM
CIOil [2Solar
TYPE
EIForced Air rlRadiant DS'team ~dC I-IVent r'lEl~ctric
IS Cm~NEY BEING LINED ~lNo rlYcs . LINER
Note: All chimneys shall be sized p~ th~ BTU's being ventc~l.
I-IHotWater I-ISuppl. EICon. Burner
& MANUFACtlJRI~R
CHIMNEY TYPE [2Chinmey A ClChimney B BDireet Vent EtOther
HEAT LOSS [~]As Approved ClExisting · [~Not Applicable
BTU RATE ~ Per Plan [2Variable ClOther Value
Td' AJ,C
VALUE (Including labor and all materials including light fixtures) ~
,~For applicable projects, an Electric Installatio~ Verification form, signed by ~he Electrical Contractor, must be
attached. If not attached or not applicable, a $~para~ Ele,~trical P&'~lJt is r~quired.
~/02
O~hl
Electric Installation VerificatiOn
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