HomeMy WebLinkAbout0101141-HVACOSHKOSH
ON THE WATER
.lob Address 40-90 WISCONSIN ST
Contractor MCM AIR INC
Fuel [~ Gas ~
System [~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner D&F INVESTMENTS
Category 512- Ind. & Comm-Both
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
No 101141
Create Date 03/13/2003
Plan H6-21-0303
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
Use/Nature [,trip Mall / 50 Wisconin / build out for Curves fitness as per State Plan ID# 843175 HVAC Statye plan ID # 851477 Forced air and exhaust fans
of Workas per plan
Fees: Valuation $7,500.00 Plan Approval $0.00 Permit Fee Paid $117.50
Issued By: Date 04/30/2003
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
¢i~ of ~
Division of Imp~on Services
P.O. Box 1
Oshko~ WI 5490~-11~0
l'ho~ (~0) ~36-~0~0
F,x (~20) 236-5084
HVAC PERMIT APPLICATION
All information ~-r bold categories nmst be provided.
mcompl~,,vpUc,~o-, ~n ::or ~ pr,x'__~__,,xL DEPARTMENT OF ·
COMMUNITY DEi/ELOPMENT
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to ~on S~vices, PO Box 1128,
Oshkosh W1 54903-1128. Comracncing work wi~out p~mi~s) will result in fees being doubled or $100.00 plus the
normal l~mit fee, which ever is greater. ' ·
OR
If you are a contractor_varttciva~tn~ in the'~ermt[ fee Account System and l~ave ade~Uare funds, elect
if you want tl~t# vrocessed tirou~h your account r'[
DATE
CO~~ORMCM AIRr INC 6122 COUNTY RD' M WINNECONNE, WI 54986 .... . ~. -~. ;~.; -.: ......... · ~ 582-4402 FAX 582-0136 ~
ElHotWater i'lSuppl. CICon. Burner
& MANUFA~
ElOil OSolar rlOther
ElSteam ~A/C Elvent ClElectric
EIRadiant
IS CHIMI~y BEING LINED E]No ElYes - LINER SIY~..
Notc: Ail chimneys shall bc sizcd per thc BTU's bcing vented.
CrmVlNEY TYPE OChirnney A OChimney B ODirect Vent ~Othcr p V C
l~l~.&T LOSS OAs Approved OExisting ElNot Applicable
BTU RATE OAs Per Plan ElVariable OOther Value
DESCRIPTION OF AT.T. WORK BEING DONE
O For'a~li~ble ~j~'~;' ~ Elcc~c ~lafim V~m f~ si~ by ~ J~i l~~, mm ~
a~h~ ~not a~ch~ or not appli~ble, s ~ ~c~ Po-~t ~ ~~
9/02