HomeMy WebLinkAbout0098047-HVAC
e
OSHKOSH
ON THE WATER
Job Address 356-380 S KOELLER ST
CITY OF OSHKOSH
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~.-;
HV AC PERMIT - APPLICATION AND RECORD
Owner Landmark Unlimited Partnership III
Contractor
Category 510 -Ind. & Comm-Heating & Ventilating
Fuel
MCM AIR INC
1"1 Gas
System
Chimney Type [) Chimney A
Heat Loss
r) As Approved
[) As Per Plan
BTU Rate
1
u~
I
1
1 Electric
o Replace
U Steam
U Suppl.
() Direct Vent
I I Solar
No
98047
UOil
U AlC
I J Con. Burner
Create Date 10/17/2002
Plan
U Solid I
D Other ___~
U Vent I
Value
o
U Radiant
1 J Hot Water
. Not Applicable
Value
() Chimney B
() Existing
() Variable
. Not Applicable
. Other
Use/Nature Commercial/ Redo ductwork 2-bath fans w/venting, 1-breakroom fan w/venting (380 S. Koeller-Planned Parenthood)
of Work
Fees: Valuation
Issued By: ./-
$2,100.00
Plan Approval
$0.00
Permit Fee Paid
$36.50
Date 10/17/2002
D Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M
WINNECONNE
WI 54986 - 9780 Telephone Number (920) 582-4402
City of Oshkosh
Division of Inspection Services
P.O. BoJl; 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
· .. RE EfvED ... ..
. OCT 162002 ~
~EPARTMENT OF ~
COMMuNITY DEVELOPMENT N H W^ ..
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, Room 205 or mailed to Jnspcction Services, PO Box 1128,
Oshkosh WI 54903-1128. Connnencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater. .
OR . . . ,
~j~:: :Z~~ t~~:~~::~;;;~r:~~~ua:~n:o~r t::c=:~~iKee Account System and have adequate funds. check here
DATE \ 6 .- \ 5 -02-
JOB ADDRESS 380 S. \(cs~LL~t2-
OWNER PL~~\--\ ED PA~~\-l'\-\OOD
CPOV.\S~DE P\2-0P .~S~la\)tL ~
CONTRACTORMCM AIR, INC 6122 COUNTY RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
CHECK iJ ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
Xeommercial
pIndustrial
. .,
FUEL ~
DOil
DElectric DSolid
o Solar
SYSTEM
ONew
DOther
DReplacc
TYPE
DForced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE .
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACfURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChinmey A
DAs Approved
DAs Per Plan
DChinmey B
DExisting
DVariable
DDirect Vent Dather
DNot Applicable
DOtherValuc
DESCRIPTION OF ALL WORK BEING DONE ~E-OC D\.>c-\ ~CQ..~
QT'( 2. B1\\\-\~A~5 wi \lE\.lT\\UG-
@.T'1 \ Q)QE'A'l Q.OOM '~At\l wI\) S\.lTl \\JG-
I
. $ \ 00
VALUE (Including labor and all materials including light fiXtures) S 2.. 00
ELECTRICAL CONTRACTOR 5 \) \ \... \) ~gS f" LbG112-l G 1 A- rJ .- $ ~ (0, 5(
o For applicable projects: an Electric Installation Verification fann, signed by the EleCtrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Pennit is required.
.t31~
LI'f iJ
cJ ~ I t," 9/02