HomeMy WebLinkAbout0101012 HOSHKOSH
ON THE WATER
.lob Address 1005 MARWAY CT
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 ROBERT A/MISHAW DOEMEL JR
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
101012
04/23/2003
Other J
Vent J
Use/Nature NSFR/ Install 80m btu furnace, 2.5T A/C and ductwork.
of Work
Fees: Valuation
Issued By:
$6,100.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$96.50
Date 04/25/2003
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
C~ofOsl~
Division oflmpection,Sen4c~
P.O. Box 1130
Oshko~ WI 54903-1130
Phone (920) 2~6-50~0
Fax (920) 236-50S4
OJ'H
HVAC PERMIT APPLICATION DEPARTMENT OF
~..o. =r,~.ma=,~a.,a~t~~ ~,,~,,.,,u,~,== DEVELOPMENT
· Application(s) and fee(s) can be brought to City Hall, Room :105 or mailed to Inspectim Services, PO Box 1
Oshkosh W1 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is grcatcr. ·
OR
If you are a contractor varttctoattn~ in tke'Permli fee .4ccount Swtem and ttave'ade~Uate
tf ~ou wa~t tkis,~rocessed tkrou~k your ~ccounf ~ -
~x~- H z~/o5
582-4402 FAX 582-0136
OCo~,,~erci~l ....... Oindu, s~al
BOil OSoln' ClOtt~
d Air . EIRadiant ElStcam OVent OElectric EIHot Warn' OSuppL 'OC0n; Burner
IS CNTMNEY BEING LINED ONo OYcs- LINER SI'~R & MANUFA~
Nou:: All Chimneys shall be sized per the BTU's bein~ vented.
~ ~z o~ey A OCttin~e~ B . ODirect Vent ~Other p ~
HEAT LOSS OAs Approved ElExistins ONot Applicable
BTU RATE OAs Per Plan OVariable OOther Value
VALUE (Inelu~.~g labor ,lid all matertab including light fixtures) $' '~ tO0 ' '
ZLECTRICALCONTRACTOR ~OILIP6b~J F-___-L~,CW g~Oi,*t~) :~.. 9~, ~)
attached;"ifnot attached or not applicable, a separate Electrical Permit is required.