HomeMy WebLinkAbout0100980-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 230 N EAGLE ST
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 JOHN G REILAND
Category 501 - Residential-Air Conditioning
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
100980
04/23/2003
Other J
Vent J
Use/Nature SFR/Install 38TKB018 18,000 btu central A/C* EIV from Seckar Electric attached.
of Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$27.50
Date 04/24/2003
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 ~4903-1130
Plxme (920) 236-~050
lax (920) 236-5084
HVAC PERMIT APPLICATION
normal permit fee, which ever is ~t~.~ 1,,,~., ~ x~stu, m ~ t~ng doubled m' $I00.00 plus the
OR
DATE. 4 - ~.,,~. - (~.-.~
6122 CQUNT¥ RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
CONTRACTOR MCM AIR, INC
Cw~.CK[] A~.AP?LICABLE
OMulti-Fsmily
USE CATEGORY
[~Single Family mDuplcx
Ol~at~ KICommercial .O. Industrial
OHot Wa~r OSuppl.
& ~ANUFA~
FUEL ~ OElcctric OSolid
OOil OSolar
TYPE
OForced Air .. ORadiant OStcam t~AJC 0Vent OEl~ric
IS ~ BEING I.~IED ]i~INo OYes - LINER sr~. ·
Note: All chimnc~ shall be sized per the BTU's bein~ ven2d.
~TYPE
HEAT LOSS
BTU RATE
OOth~
OCo.. Bun~
· ODircct Vent
ONot Applicable
OOth~r Val~
OChin. mcy A
OAs Approvcd
OAs Pcr Plan
OChir~c7 B
O~ist~
OVariabl¢
DESCRIPTION OF ~LI. WORK BEING DONE ~'~ ~-~ O-/(
VALUE (~ndudinz labor and all materiab including fight
ELECT CAL CONT CTO e e,k a
~LFor applicable projects,' an E~e~mc Installation Verification form, signed by tl~ Eleftfical Contract~, must be
attached. If not attached or not applicable, a scpat~ Electrical Permit is required.
9/02
Jun
07 02
Oe.48a
Oshkosh
]: nsp eot. i ohs' 920- 236 -$0e4 P. 2
Electric Installation Verification
(F. tectrical Con~
~,vo 'oe~n co~ to perform electric installation work for
C~, ~~e ofp~ ~n~d m)
The nature of the work consists of'. (.Check One or Descn'be the Nature of Work)
., R. eeor~eotion or new circ~t for r~plac~nent Heatin8 Pltnt and/or A/C Condenser.
R~..on~otion or new oirc~t for r~plar, em~t l~le~tri¢ Waler Heater or power ve~ted
R~nnection ofu~c 8cr~ic~ ~ut~.,e C~blc, Mmr Box, alterations to recepu~cles
· nd liF~cin$ fixturm due to sidin$ / soffit inst~lagon. Note: New Sel~ice
Entrance Cables will require a separ~e pcnnit.
. R. ecor~ection or new c'mcuit for the replacement of other p~¥uan~ntly wired
Xappliauces / fixnmes.
_ New cir~dt for the addition of A/C to an f~fivid~l ~dl~ag ~i~ (house or the
individual systems in a duplex or coadomlnium), includi~.8 required service
eleotrioal outlets.
...... Oth~
The valuz et'this wc~ i~ $~.00
I hcr~y veery ~ work ~. be p~o~ by ~ ~plo~ of~s ~y ~d ~r ve~
~ ~a~ / ~on ~ be done ~ co~B=~ ~ m~u~ ~ El~c ~e
(S'tSmnme*o~ Company Officer) (Prlnc Nam~ of Offk=) (Dm)