HomeMy WebLinkAbout0087267-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 1018 ARTHl1R AVF
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner EDWARD BAUMGARTEN
No 87267
Create Date 07/05/2001
Contractor MCM AIR INC Category 501 -Residential-Air Conditioning 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
BTU Rate As Per Plan Variable Other Value 24
000
,
Use/Nature FR /INSTALL SPACEPAK 2 TON FAN COIL A/C UNIT
of Work
Fees: Valuation $5,900.00 Plan Approval $0.00 Permit Fee Paid $93.50
Issued By: Date 07/05/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address 6122 COUNTY ROAD M
Agent/Owner
WINNECONNEWI 54986 -9780
Telephone Number (920) 582-4402
Division of Inspection Services
215 Church Avenue
P.O. Hox 1130
Oshkosh, WI 54903-1130
N N w FaX ~ (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATF! ~I ' 2 " O
JOB ADDRESS lO ~ ~ I~YzT~I-t U ~ l4 v E
OWNER E p PJf~ y h'I C'S ~ ~-~
coNTRACTOR MCM AIR INC..
CIRCLE ALL APPLICABLE Wlnneconne, WI 54986
IISS CAT$OORY SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FIISL ~~ C •. SOLAR SOLID
1~>/ ISiING t-~ON-s"
SYSTEM W LACE OTHER
TYP$ FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BBIN(3 LINED LINER SIZE__ MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPL CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTII RATE AS PER PLAN VARIABLE OTHER VALUE
NATIIRB OF WORK: ~~~
Ih~STALI.. SP/•~c.EPA1<- 2bN ~AN Ca(~~1~N~T'
VALIIB (Including labor and materials) $J~C~ oo
BLBCTRICp,T, Ct?NTRACTnR S EC K-~+ 2
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Fees
$ 0 to $1, 0 0 0.0 0..».».».»»..».»»..».».».».».».».».»....»._.».»._.».».».».».»...._.»»..».».».».».».».......».»..$ 2 0.0 0
$1, 0 0 0.0 I t o $10 , 0 0 0.0 0.._.»._.»._._.».».».».».».».».»...:»:......»....»._..»».»...»..».»._.».».».».»..$ 2 0.0 O f or f i r s t
• $1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10 , 0 0 0 .0 I t o $ 2 5, 0 0 0 .0 0..»._.».».».».»...._.».».».».».».».»._.».»,_,_,»,_,_,»._._.»._».».».».».. $15 5 .0 O f or f i r s t
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 2 5, 0 0 0. 0 0....._._._.»._._.::..:.»._.»._._.»._.»...._.»._._....».»....».»....».».».».».»».....».».»».._.».»..$ 3 0 5. 0 0 plus $ 0 .5 0
per $100.00 valuation or part thereof
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
rROM SECKAR ELECTRIC
ON /w( wwf6A
Ciry of OehkosA
Divnioe of Inspecdai $erv~ee~
21 S Church Av<wue
PO Ho+ 1110
Oshkah wl S<902-! 130
OtOce 920-776-SOSO
Psx 920.236506
____ __.
~~~a ~?-
Electric Installation Verification
(I) (We) Becker Electric Company lcrc. _
' (Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, `NVisconsin 54986
(Address}
(City)
(State) (Zip Code)
have been contracted to perform electric installation work forMCM Alit, INC. ,
(Name of party contracted to)
at the following address:
1018 ARTI•EJR AVENUE
(Address where work will be performed)
The nature of the work consists of : (Check One or Describe the Nature of Work),
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement filectric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a sepazate permit.
Reconnection or new circuit for other permanently wired appliances /fixtures.
Other
The value of this work is $ a . o0
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection 1 installation will be done in compliance with manufacturer and Electric code
requirements.
Dime R. Seckar JULY 10, 2001
( ~ 5 ~S.L .
(Signature of mpany OfEcer) (Print Name of Ot~icer) (Dale)
FAX N0. 9202313950 Jul. 10 2001 10:11AM Pi