HomeMy WebLinkAbout0100450-HVACOSHKOSH
ON THE WATER
.lob Address 3190 MOCKINGBIRD WAY
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner MARK STANEK
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100450
03/07/2003
Other
Vent J
Use/Nature NSFR/Install 80m btu furnace, 3T 36m btu A/C and ductwork.
of Work
Fees: Valuation
Issued By:
$6,700.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$105.50
Date 03/27/2003
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
Oshkosh, WI 54~03.-1130
?hone (~0) 236-5O50
Ftx (920) 236-5084
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspccticn Scrviccs, PO Box 112~,
Oshkosh WI 54903-112~. Commcncing work without pcrtni .t(s) will result in fec~ being doubled er $I00.00 plus the
normal pcrmit fee, which ever is greater. ·
OR
If you are a contractor varticl~attn~ in the'~erml[ fee ,4ccount System and have ~,de~Uate £undz. c&eck &er.,
If you want thlz_vroceszed through your account
CONTRA~OR MCM AIR,
INC 6122 CQUNT¥ RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
FUEL .... nBlectric I"lSolid ' ""' :'" '"' SYSTEM
· OSolar
~o~.eclAir .ORadiant OStcam/~A/C OVent OBlectric
IS CHIMNEY BEING LINED ONo I'lycs . LINF~ sr~.~
Note: AH chinmeys shah be sized per the BTU's bein~ vented.
mOtl~
elliot Wal~r OSuppl. ClCen. Burner
& MAN~ACTOR~
VALUE (Including labor and all mate.als Indudlng Ugh, flxhu'es)$ (~0~'-[00 oo
ELECTRICAL CONTRACTOR ~'~U%~D~_~% ~ L~OTla.% (--. t.P, .N.J
...: ,.,~* c: 0For applicable pi'0j~,' an Elcclric InstallaZion V~oati(m form, si~ned by the ~¢arc(mtra¢~, must be
.. :. attach~l. If not attach~l or no! applicable, a ~ El~rioal P~...;t is required.