HomeMy WebLinkAbout0100644-HVACOSHKOSH
ON THE WATER
.lob Address 3337 LOUISE CT
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner RICHARD L/PAT BRAASCH
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
100644
03/25/2003
Other
Vent J
Use/Nature NSFR/Install 60m btu furnace and 2 T 24m btu A/C.
of Work
Fees: Valuation
Issued By:
$5,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$83.00
Date 04/04/2003
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. Bo~ 1130
Pho~ (920)
l:~x (920)
Incon~l~ applimions ~ not b~ ~/~? ·
· Application(0 ~d f~c(0 om b~ brou~, to City H~I, Room 20~ or m~ilod m ~ 1'O Box 112,%
OR
/£ vou are a contractor _~articipatin~ in tbc'~ermli fee Account System and baye ~dc~ate fund~, cbccl;
t£vou want thts.~rocessed through your account r'l
CONTRACTOR MCM AIR, INC
Cm~CK [] ,~x.L AP?LICABL~
6122 CQUNT¥ ~D' M WINNECONNE, WI 54986
582-4402 FAX 582-0136
CATEGORY
~Sm~eFamily ODup~ex OMulti-Family OR~tal OComm~x;ial .O. Iadustfial
~':' ~s ' O~l~c OSolid SYSTEM ONow ORcplacc
~Fo~ Air . ORadiant OSteam ~/C OVent Cl~lc~tric OHotW~r O~pl. OCon. Burner
IS CI:[IMI~y BEING LINED CINo OYes - LINER SIZE
Note: All c~ shall be sized per the BTU's b~in~ v~tcd.
& MANUFA~
~ T'n'~. OChinm~ A OChiam~ B ODir~ Vcat )!iOm~
HEAT LOSS OAs Approved OF.,xisting ONot Applicable
BTU RATE OAs Per l~lan OVm'iable [3Other V~lue
DESCRIFIION OF .a, ILL WORK BF.,lNG DONE
~ T 9_%oco /B'co ,9/c_.
(~6 ~o0o t:3'70
~ DDO'-FWo~-_.//__.
VALUE 0nclud!ng hbor and all materials including Hght fixtures) $
'E~crmC.~co~m~0i~ ...... ~ COSts ~'c:F-CT~-lc~.r,~
0 For applicable projects, an Electric Installation Verification form, si~ned by the ~cal C.,onUact~, must bc
· attached. Ifn0~ attached or not applicable, a sepantte Electrical Pcrmit is required. ..