HomeMy WebLinkAbout0101359-HVACOSHKOSH
ON THE WATER
.lob Address 2580 HEARTHSTONE DR
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 TEMPO DEVELOPMENTS
Category 502- Residential-Both
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
101359
03/21/2003
Other
Vent J
Use/Nature NSFR/ Install 60m btu furnace, ductwork, and 30m btu a/c.
of Work
Fees: Valuation
Issued By:
$7,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$114.50
Date 05/08/2003
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
City Of
Division ofln~on ~
P.O. ~X 1130
~ ~ ~a-.~o ~AY 0 8 ?005
P~ (~0) ~OSO
HVAO PERMIT ~PU~[~w~ 0~,._
'
~ ~o~fion ~ ~ld ~g~ ~ m ~ T
· Application(s) and fee(s) can be brought to City Hall, Room 205 or marled to Inspection Services, PO Box 1128,
Oshkosh W1 54903-1128. Commencing work without permit(s) will result/n fees being doubled or $100.00 plus the
normal pcrmit fee, which ever is greater.
[f Y~?l~ are a contractor varttctvattn~ in the'j~ermti fee Account System and have ~de~fiate funds, check here
(f vou want this processed through YCgr account
CON'I~CTORMCM AIRt INC 6122 COUNTY RD'M WINNECONNE,
582-4402 FAX 582-0136
[l~;ingl¢ Family ElDuplex ElMulfi-Family ElRental
WI 54986
I-IComm~'~&l .El. Induztrial
FUEL Ii!ICtus r'IElectric ElSolid SYSTEM li~ ClRep~
ElOil r'lSolar GOthcr
TYPE
'[i~lForced Air . ElRadiant ElStcam I-IA/C r'lVcnt ElElectric Elliot Water F1Suppl. l-ICon. Bumcr
IS CHIMNEY BEING LINED I~No DYes - LINER SI~
Note: All chimneys shall be sized l~r th~ BTU's being v~nted.
CHIMArEY TYPE r'lChinmey A ElChinmey B , CIDirect Vent
HIV~AT LOSS l~lAs Approved ElExisting ElNot Applicable
BTU RATE Ii]lAs Per Plan ClVariable ElOther Value
DZSCmaUao or,,.,, DO E Il 5 tx T
&
/,:, O, oeo B'T '
VALUE (including labor and sll mate.als In¢ludlng Ught fl~irel) $ -7~ (~ 0
O For ~pplicabl¢ proj~ts, an E'~¢¢tri¢ tnstsllstion V~ification form, si~ed by th~ El~-trical'Con~, must be
attached, ffnot attached or not applicable, a separate Electrical Permit is required.
~/02