HomeMy WebLinkAbout0100977-HVACOSHKOSH
ON THE WATER
.lob Address 3422 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 CORP.
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 IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100977
04/04/2003
Other J
Vent J
Use/Nature NSFR/ Install 58MXA060 60,000 btu furnace & duct work.
of Work
Fees: Valuation
Issued By:
$4,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$69.50
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
Cit~ of Oshkosh
Division of In~ction Services
P.O. Box 1130
Ogakoa~ WI 54903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All informatiOn after bold catcgori~ must be pmvidcd.
Incomplete applications will not be processed.
· Applicatiou(s) and fee(0 can be brought to City Hall, Room 205 or mailed to lnalx~dou ~ ~ ~ 1128,
Oshkosh WI 54903-1128. Commencing work without permi .~s) will result in fees being doubled or $I00:00 plus
normal p~nit fee, which ever is ~'eater.
[f y~u are a contractor varttctpatln~ in th¢'~ermt[ fee ,4ccount System and have ~de~ot~
il'you want this vrocessed through your account
CONTRACTOR MCM AIRr INC 6122 COUNTY RD* M
582-4402 FAX
WINNECONNE,
582-0136
WI 54986
CI:~.CK [~ A!,T, APPLICABI,~'.
USE CATEGORY
E~iSinglc Family
ClDuplex l-lMulti-Family OR~ntal
r"lComm~:ial C]Industrial
FUEL ~C-as nElectric E]Solid SYSTEM
ClOil ClSolar
TYPE
1RForccd Air nRadiant I-ISt~am nA/C 'l"lvcnt r"lEleetric
IS CHIMNEY BEING I,tN'ED ~No OYes - LINER S!~ ·
Note: All chimneys shall be sized per the BTU's bein~ vented.
CHIM3IEY TYPE
I:IR~AT LOSS
BTU RATE
nChimncy A
Approved
per Plan
C]Chimncy B
EIExisting
OVariablc
EIHotWater OSuppl. ElCou. Buracr
& MAlqUFACTURER
DESCR1FYION OF AT,I, W(~RK BEING DONE
. ClDire~ Vent
ONot Applicable
OOth~r Value
VALUE (Including lal~r and all materiab including light flxtm-=) $ /~ 30 O
ELECTRICAL CONTRACTOR ~ U., / C~ e '~ $ ~ ] ~ 0~ff y' i ~-' I ~ Y~ .--
[] For applicable projects,' an £'-i¢ctrio Installation Vcaificatiou form, sigaed by t~ Elc~a'iCal Coum, must bc
attachcd. Ir'not attached or not applicable, a scparat~ £]e~xi¢~ Pcrmit is rC~lUired.