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HomeMy WebLinkAbout00957856-HVAC 0 CITY OF OSHKOSH No 95756 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2335 SHORE PRESERVE DR Owner FOX CITIES CONSTRUCTION Create Date 07/10/2002 Contractor MCM AIR INC Category 502 - Residential -Both Plan Fuel ✓1 Gas I Oil 1 I I Electric J Solar I Solid 1 System 0 New ❑ Replace I ❑ Other H Forced Air LI Radiant u Steam u NC u Vent Electric I 1 Hot Water Suppl. Con. Bumer Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value 0 BTU Rate ( ) As Per Plan () Variable • Other Value Use /Nature NSFR/ Install 80m btu furnace, ductwork & 36m btu a/c renewaire energy recovery ventilator. of Work Fees: Valuation $7,800.00 Plan Approval $0.00 Permit Fee Paid $122.00 Issued By: Ktevk Date 07/10/2002 ❑ 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 City of Oshkosh Division of Inspection Services P.O. Box WI 1130 5 Oshkosh, WI 54903 -1130 CA11 Phone (920) 236 -5050 Fax (920) 236 -5084 O.lHKOf H ON THE WATER 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 Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds. check here if you want this processed through your account n � c © � PPE DATE —7 ' Cl -CG Z. 2. JOB ADDRESS V E" OWNER rOX CITIES CO NT. CO R P CONTRACTOR MCM AIR INC; 6122 County Rd M .. CHECK 0 ALL APPLICABLE Wmneconne, WI 54986 E CATEGORY Single Family ❑Duplex ❑Multi - Family :Rental ❑Commercial ❑Industrial FUELias ❑Electric ❑Solid SYSTEM ❑New OReplace ❑Oil ❑Solar ❑Other 4 'E ! Forced Air ❑Radiant ❑SteamXA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per. the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent Other P VC HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DESCRIPTION OF ALL WORK BEING DONE 5 X. PO 8O So, 000 BTU p e N p oE * DUc i woRK a BCe_cos - 3 T; 3& moo i D 10/G RE-New/ g ENERey m rCdU ER1 VovT /LM7-012 00 VALUE (Including labor and all materials including light fixtures) $ 18 0� 1 '122 0° ELECTRICAL CONTRACTOR - - OR 0 Electric Installation Verification form attached(If Replacement) Electrical installation of new /replacement equipment shall be done by licensed contractors. 3/02