HomeMy WebLinkAbout0100645-HVACOSHKOSH
ON THE WATER
.lob Address 3321 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
100645
03/25/2003
Other
Vent J
Use/Nature NSFR/Install 60m btu furnace, 2T 24m btu A/C & ductwork.
of Work
Fees: Valuation
Issued By:
$5,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$84.50
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. Box 1130
Oshko~ WI ~4903-11~0
?ho~ (~2o) 236.5050 .
~ ~ ~3-1128. ~g ~ ~ ~s) ~ ~t h f~ ~ ~1~ ~ S1~.~ p~
no~ ~Mt f~, ~ch ~ h ~.
OR
If you are a contractor parrfc~ar~n~ ~n thf'~ermt~ fee ~ccount ~vxtem and bave ade~Uate fundz, check ~r~
~f vou want tblz ~roc~ssed through your account ~
OWNE~ H~5.
CONTRACTOR MCM AIR, INC
CH~.CI( ~ AI.I. APPLICABLE
6122 CQUNTY ~D M WINNECONNE,
582-4402 FAX 582-0136
WI 54986
~E CATEGORY
~in~le Family ODuplcx OMulfi-Family ElRcn~l ['[Commcrcial
FUEL ~l_C~s OEl~'tric OSolid SY~ ~lcw
OOil OSohr OOth~
TYPE
]l~Forccd Air . ORadiant OStcam ~]/A/C 0Vent OElcclric
IS CHIMNEY BEING I.INED EINo OYes - LINER $1~..
No~: All chinmeys shall be sized p~r flz Bill's bcin~ vented.
~TYPE
~&T LOSS
BTU I~TE
ClHo~Watcr OSuppl. OCcn. Burner
& MANUFACIIIR~
OChimn~ A
OAs Approved
OAs per plan
OChimnc~ B
OF. xis~ns
OVariabl¢
· ClDircct
ONot Applicable
OOthcr V~lu~
~Othcr p~
DESCRIFrlON OF ~lx. WORK BEING DONE ' (,,-~ ~ ~ ,~F~J
VALUE 0ncludlng labor and nil materials including light ~) $ ~ ~Ck23 o~
ELECTmCALCONTRACro~ 13u~o~'~ EL~eCT~c., ^ ~ .. ~c/ ~o
O For applicable proje0ts,' an ElccUic Installation Vcrifica~on form, signed by the ~cal Cc~, must be
attached. If not attached or not applicable, a separate Electrical P~.,-,uit is required.