HomeMy WebLinkAbout0100978-HVACOSHKOSH
ON THE WATER
.lob Address 3414 EICHSTADT RD
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner FOX CITIES CONSTRUCTION
Category 500- Residential-Heating & Ventilating
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
100978
04/04/2003
Other J
Vent J
Use/Nature NSFR/Qlnstall Carrier 58MXA060 60,000 btu furnace, ductwork.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$74.00
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
Civ! of Oshkosh'
Division of Impection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
?hone (920) Z~6-5050
Fax (920) 236-$0M
HVAC PERMIT APPLICATION
All information after bold c~t~gori~ must be
Incon~lete al~lkafiom will not be
· Application(s) and fee(s) can be brought to City Ha~l, Room 205 or trailed to [nspe~on S~rvices. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or S100:00 plus the
normal permit fee, which ever is greater.
[f ¥o~ ~r~ q contractor varttctvattn~ in the'~ermii'fee Account System and have ade~uate £unds. check her~
(f vou want this vrocessed through your account
CON~CTORMCM AIR, TNC 6122 COUNTY RD M
582-4402 FAX
CI~.CK [] AT J. APPLICABLE
WINNECONNE, WI 54986
582-0136
USE CATEGORY
[i~lSingle Family
E]Duplcx ElMulti-Family r~Rental
.E!Industrial
FUEL IglGas rlEleetric OSolid SYSTEM [~lew E1Rcplace
OOil ~Solar OOther
TYPE
~Forc~d Air . ElRadiant ElSteam ~A/C ' 0V~t OElectric ~'-Iot W~m' OSuppl. OCou. Bm'~r
IS CHIMNEY BEING !JN'ED f~No E]Yes
Note: All chinmcys shall be sized per thc BTU's being vented.
C~Y TYPE
FIF~&T LOSS
BTU RATE
[DChilmley A
~As Approved
[~tAs Per Plan
- LINF. R
OChinmcy B
ClExisting
i-]Variable
& MANUFA
· EIDireet V~nt
rlNot Applicable
OOthcr Value
DESCRIPTION OF AIJ. WQRK BEING DONE ~qA~O~ Il C~V ~"~
VALUE (Including labor and all materiab including light fl~ur~) $ _~1-~ ~>O (~
.
0 For ~ppli¢~bl¢ projee't% an Electric ~l~tiou Verificatiou form, signed by the El~eal Coup, muzt be
attached. If not attached or not ~pplicabl¢, ~ ~'panV~ Electrical Permit i~ required.