HomeMy WebLinkAbout0099741 HOSHKOSH
ON THE WATER
Job Address 166 W 24TH AVE
Contractor MCM AIR INC
Fuel ~ Gas I
System [] New
Forced Air ]
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
LJ Electric
Chimney Type ~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
Owner DEL TRITT CONSTRUCTION LLC
LJ Radiant
L~ Hot Water
Chimney B
~ Existing
~.~ Vadable
Category 500 -Residential-Heating & Ventilating
Oil I L~ Electdc I [] Solar
[] Replace J
L~ Steam I
U Suppl. I
~ Not Applicable
O Not Applicable t
~ Other I
Direct Vent
L~ Con. Burner
Value
Value
No 99741
Create Date 01/09/2003
Plan
1 ~ Solid
[] Other
[_.J Vent
Use/Nature INS FPJ
of Work
Install carrier 60m btu furnace, 24m btu a/c and ductwork.
Fees: Valuation $5,100.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~
[] Permit Voided
$81.50
Date 02/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920)582-4402
P.O. Box 1130
~ WI ~4~03-1130
Phol (~20) 236-50~0
Fax (920) 236-50~4
FF. i3 'i 0
a MRT IENT_OF
· Applica~n(s) and fee(s) ~ be brought to City flail, Room 20~ or mailed to Inslx~on ~rvices, PO Box 1128,
Oshimsh WI 54~03-1128. ~11 work without pertni .t(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is grester. .
OR
CONTRACTOR MCM AIRt INC 6122 CQONT¥ RD M
582-4402 FAX
CH~ Iii AT.T. APPT :TCABT.~.
OMulti-F~ly Ol~mal
USE CATEGORY
msm c amUy
..... OOil
OElectric EISolid
DATE,' ~.~- 7- Oc_A
~Forced Air . I:]Radiant OSteam OA/C OVent OEleotric
IS CHIMNEY BEING IXNED II/[No OYes - ~ SI~.,
Note: All chimneys shah be sized per the BTU's beint ven2d.
OChimncy B
OVari~ble
WINNECONNE, WI 54986
582-0136
ClHot Water I'lSuppl. OCon. Burner
ONot Applk~ble
OOther Value
~TYPE
HEAT LOSS
BTU RATE
ClOth=
OChin~cy A
I/lAs Approved
~As Per Plan
DESC'RIFIION OF AIL WORK BEING DONE Y y~ &'~- q I l