HomeMy WebLinkAbout0094379-HVACOSHKOSH
ON THE WATER
Job Address 1320 JUDY LEE CT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner
No 94379
Create Date 04/15/2002
Contractor MCM AIR INC Category 502 -Residential-Both Plan
Fuel / Gas Oil Electric Solar ~ Solid
System ~/ New ~ ~ Replace ~ ~ Other
/ Forced Air Radiant Steam / A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature SFR/ Install new 80m BTU furnace, 30m BTU A/C & ductwork.
of Work
Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid $90.50
Issued By: ~h(1 Date 05/15/2002
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number (920) 582-4402
Division o! Zas~sctioa sssvic~s
21S Chusch I-wau.
s.o. loot llso
Oshkosh, Mi S~f03-1130
rax r (f2o) 23i-sore
lboos (f20) 23i-SOtr
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will sot bs procsssed.
~? ~-~• DATS 5~ 1 y ~ O Z
JOB ADDR838 ~ ~ ~J U ~~ ~~
OWNER C C ar ~ w O O p
CONTRACTOR
CIRCLE AZL 11ppL2G8L8 6122 County Rd Ilt~ ~~ ~ ~G~
Winneconne, WI 549$6 ,
QSB GTSaOR~Y -~ SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
PQSL (GASJ OIL ELECTRIC SOLAR SOLID
3YSTffi•i ~-- REPLACE OTHER
TYPE ORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
I S CHIIII~ISY 88I2TCi LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the STU's being vented.
CHIt~BY TYBS CHIMNEY A CHIMNEY 8 DIRECT VENT ( OTHER -- P til G
HEAT LOSS AS APPROVED 'EXISTING NOT APPLICABLE ~
BTII RATE AS PER PLAN VARIABLE OTHER VALi,TE
NATVRS op woRx : C4 R~ i r/ 2 ~M rt AO gp Bp ,000 gT U ~ 1.'~ iZ~IV. Ptc, ~ ~- Du c 7 V~0 ~ 1C.
~~~.~ ~ r? 3aG~a ~ ~o ,oo0 8~ U A 1 G •
ao
VALUE (Including labor and matsrials)•$J' ~ ~~
ELBCTRIC):T, CC~NTR~1CTnR ~U I L p E 2S ~ L~G~'(Z ~ G 1 /~'(J
Electrical installation of new/replaeen-ent equipment shall be dons by licensed •
contzactors.
valuation Fees
so to sl, o00 . oo $20 . oo ~ X10.50
sl,ooo.01 to $10,000.00 ~'
520.00 for first
' $1,000.00 plus $1.50 per $100.00 valuation or part thereof
S10,000.01 to $25,000.00 $155.00 for first
$10,000.00 plus 51.00 per $100.00 valuation or part thereof
Over $25,000.00 $305.00 plus S0.50
• per $100.00 valuation or part thereof
• Submit payment with application. FailuYe•to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.