HomeMy WebLinkAbout0096083-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 96083
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2480 MINERVA ST Owner RONALD W RONSON Create Date 07/23/2002
Contractor MCM AIR INC Category 501 - Residential -Air Conditioning Plan
Fuel 111 Gas Oil I I Electric I Solar I 1 Solid 1
System 0 New I 0 Replace I ® Other
U Forced Air LJ Radiant U Steam u A/C U Vent
1 Electric I Hot Water 1 Suppl. I I Con. Bumer
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable 1 Value 0
BTU Rate ( ) As Per Plan () Variable • Other Value
Use /Nature SFR/Install 38TKB018 1.5T 18,000 BTU A/C* EIV from Seckar attached
of Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: Date 07/23/2002
❑ Permit Voided
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
t
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
1 5
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
OTAIIKOTA
. HVAC PERMIT APPLICATION -N
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
Oshkosh WI 54903 -1128. Commencing work without Inspection Services, PO Box 1128,
normal permit fee, which ever is permit(s) will.nestilt in fees being doubled or S100.00 plus the
greater.
OR
!f you are a contractor aarticinatinr in the Perniiffee Account System and have adeauate funds. check here
if you want this processed through your account
DATE 9 ` Z Z - °2
JOB ADDRESS 24 BO NI 1 I\IE R- \A 57
OWNER 1 i4 E 2. E � A BO N50
CONTRACTOR
MOMAIIIIINCL
CHECK 65 ALL APPLICABLE Winn W/ 64986
U S E CATEGORY
Single Family (Duplex (Multi- Family (Rental (Commercial (Industrial
FUEL °Electric (Solid SYSTEM ° KReplace
OOiI (Solar OOthheer
TYPE
°Forced Air (Radiant (Steam C °Vent °Electric °Hot Water OSuppl.00on. Burner
IS CHIMNEY BEING LINED ONo (Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DC A ey A (Chimney B (Direct Vent (Other
HEAT LOSS Approved OExistin
BT U RATE OAs Per Plan g (Not Applicable
(Variable (Other Value
DESCRIPTION OF ALL WORK BEING DONE 1 kI TPc LL `r�L. Rj O tg 1
• 5 1 t es4,000 Psi V A l�.
VALUE (Including labor and all materials including Ilght fixtures) S J 5 . � 0
Eiel
ELECTRICAL CONTRACTOR SEGICpr 1
0 Electric Installation Veriflgtioa torn attae6ed(IfReplaar„ c „ c )
InstellatioN of aewhvyalacesowa equipmesu shall be dose by licensed connectors.
•
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Electric Installation Verification
i (We), SEE-4 eZeLnei c co. IN
(Electrical Contractor Name)
5 CoO g-Th) y Pumole4 A w omECO?►NE &j 6
(Address) (city) /�,,� (State) (Zip Code)
have been contracted to perform electric installation work for / "K� /�'� � ,
(Name of party contracted to)
at the following address: 2 BO IA 1 EL. V A 5
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
_2(. Reconnection or new circuit replacement eating Plant and/or A/C Condenser.
Reconnection or new circuit for ectcic Water Heater or power vented
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 the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an Individual dwelling unir (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is S 7 S • O °
I hereby verify this work will be performed by an employee of this company and further verify
the recov Cation / installation will be done in compliance with manufacturer and Electric code
requirements.
1 aeVi t k e ErAtte - 7 - - O 22 Co �� � Z
(Signature o
mpany Officer) (Print Name of Officer) (Date)