HomeMy WebLinkAbout0095483-HVAC 0 CITY OF OSHKOSH No 95483
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1370 MORELAND ST Owner Del Tritt Construction LLC Create Date 05/14/2002
Contractor MCM AIR INC Category 502 - Residential -Both Plan
Fuel ✓f Gas I [ 1 Oil 1 Electric f Solar 1 Solid
System Q New 1 [] Replace a Other
Li] Forced Air U Radiant u Steam J NC u Vent
f Electric I Hot Water 1 1 Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B O Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature NSFR/ Install 60m btu furnace, ductwork, & 18m btu a /c.
of Work
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid $74.00
Issued By: V On Date 06/26/2002
0 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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION " " W� ER
• H
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 permits) 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 Peritayee Account .vstem and have adequate funds. check here
if you want this processed through your account [1
DATE Go 124 I O 2
JOB ADDRESS 13'10 M a'e E L N,
OWNER 0E7 L T 2-1 -- t e,omS
CONTRACTOR MOM AIR INC.
6122 County Rd M
CHECK ® ALL APPLICABLE Winneconne, WI 54986
RE CATEGORY
ingle Family °Duplex °Multi -Family p
Y Rental °Commercial OIndustnal
FUEL (Gas °Electric °Solid
°Oil °Solar SYSTEM N ew °Replace
°Other
TYPE
A:Forced Air °Radiant °Steam ( °Vent °Electric °Hot Water DSuppl.DCon. Burner
IS CHIMNEY BEING LINED ONo °Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per.the BTU's being vented.
CHIMNEY TYPE °Chimney A °Chimney B °Direct Vent
HEAT LOSS DAs Approved °Existin � P vC •
B TU RATE DAs Per Plan DVariab °Other Value
DESCRIPTION OF ALL WORK BEING DONE 1 u ALL k T to N 1 ..V--4.6 SS N\ )(AO 00 '
A. ••■• BTU 1) -NAGe 00GT woe K •=4- G t? E
OOo �. O A T1L(3Cl`�
VALUE (Including labor and all materials including light fixtures) $ �(pOG _
ELECTRICAL CONTRACTOR ELECT) )(JAN OR 0 Electric rIc Installation Verification form attac6ed(if Replacernene)
Electrical inswllatIon of new /replacement equipment shall be done by Uce s ed rnntractors.
3/02