HomeMy WebLinkAbout0087184-HVAC (a/c) 0 KOCITY OF OSHKOSH N 87184
OSH SH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1732 SKYVIEW AVE Owner SCOTT M /HEIDI J PETHAN Create Date 07/02/2001
Contractor MCM AIR INC Category 501 - Residential -Air Conditioning Plan
Fuel 111 Gas I Oil 1 Electric I Solar Solid
System El New I 121 Replace 1 [I Other
u Forced Air u Radiant U Steam L✓J A/C Vent
1 Electric J Hot Water I 1 Suppl. I Con. Bumer
Chimney Type ;) Chimney A 0 Chimney B 0 Direct Vent () Not Applicable
Heat Loss .1) As Approved 0 Existing 0 Not Applicable Value
BTU Rate ic--) As Per Plan 0 Variable 0 Other I Value 24,000
Use /Nature SFR / REPLACE CARRIER 38TZA 2 TON 24,000 BTU A/C
of Work
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $33.50
L` : c
Issued By: M t l Date 07/02/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number (920) 582 -4402
(FD Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
CVI 1•TI7: Y 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.
DATE (p Z9 Jo I
JOB ADDRESS /'7 3 2 5/L'-/ V) E ►J1
OWNER !') E ( 0 i PET HA A PI
CONTRACTOR MCM AIR INC.
6122 County Rd 54986 M -58Z- LI4Q4-
CIRCLE ALL APPLICABLB Winneconne, WI 54986
USE CATEGORY NGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL OIL ELECTRIC c SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A /C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK:
CAI29- 1 E12 3 ( 6TZA a Tory 24 ,00a Bru A i L
•
VALUE (Including labor and materials) $ / 900
ELECTRICAL CONTRACTOR SEC-4,9 2
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
33.5
$1,000.01 to $10, 000.00. --....-....-...... ... ... ...... ... ... ......L.:—.. — ... -...-........._ ... ... ... .... _42 0 .00 for first
$1,000.00 plus $1.50 per $100 -.00 valuation or part thereof
$10,000.01 to $25,000 . 0 .._._._._._._._...._...._...._._._._._._.__. _...._._._._._._._._...._..__-..$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25, 0 0 0. 0 0.. _ . _ . _ . _ . _ . _ . _ . . • ...:_._._._._._._._._._._._._._._._....__...._. _._.- ._._._._._._...-............$305.00 plus $0.50
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.
FROM : SECKRR ELECTRIC FAX NO. : 9202313950 Sep. 10 2001 08:20AM P2
City of Oshkosh
Division of Inspoclioo Services I �
Os k
215 thatch Avmoe
Son 1130
Oshkosh 5e902.1130
0/1-1<0/H Oo 92- .226 -SOSO
Oa 114 WArea Pax 910.236.5014
Electric Installation Verification
(1) (We) (SEC rikg gu 1c. co, 1Nc,
(Electrical Contractor Name)
ZD COJ - r 7 u ' /lif € D , t NNE c.VN N
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for 1 ' i Ci " t
(Name of party contracted to)
at the following address: 173 Z. S L1 view .
(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 Electric 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 separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is 5 I ZS O v
1 hereby verify this work will be performed by an employee of this company and further verify the
reconnection /.installation will be done in compliance with manufacturer and Electric code
requirements.
5 L: satk? (0, ZOD
(Signature Company Officer) (Print Name of Officer) (Date)