HomeMy WebLinkAbout0100979-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2470 ARCADIA AVE
MCM AIR INC
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Gas I
New __
L J Forced Air
[ Electric
Chimney Type ~.~ ChimneyA
Heat Loss E~- As Approved
BTU Rate E~ As Per Plan
Owner JOHN A OLSON
Category 502- Residential-Both
[] Oil 1 [] Electric 1 [] Solar
L-J Radiant I ~1 Steam I ~J NC j
LJ Hot Water I [] Suppl. 1 L~ Con. Burner
~_~ Chimney B (~ Direct Vent O Not Applicable [
(~ Existing ~1~ Not Applicable I Value
~ Variable t~t Other I Value
No
Create Date
Plan
[] Solid
[~_ Other
100979
04/23/2003
Vent
Use/Nature SFR/Install 38TXA024 2 ton 24,000 btu A/C* EIV from Seckar Electric attached.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$35.00
Date 04/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
City of Oshlwah
Division of Xnspection Services
P.O. Box 1130
Oshkoah, WI 54903-1130
Phone (92O) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPUCATION
· ~AI~, ,lication($) and fcc(s) can be brought to City ..I'~., Room 205 or marled to/~]~i~ ~ I~) Box 1
ushkosh W1 54903-1128. Commencing work without permits) will result in fccs being doublcd or S100..00 plus the
normal permit fee, which ever is IP'eatcT.
OR
If you are a contractor oarticivattn~ in the'~ermt[ fee Account System and &ave'ade~ate funds, check
if you want this vrocc#scd through Your account
JOB ADD~ ~.~ ~ 7 0
OWNER
CONTRACTOR MCM AIR, INC
CHECK Ri .a, Lx. AP1,LICABL~'.
6122 CQUNT¥ RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
USE CATEGORY
C~inglc Family lrlDuplcx
i-lMulti-Fnmily
I-IRental F'l~mm~l'CjRl .~. ~al
FUEL OC. ms IiElectric II,Solid
IIOil IISolsr
TYPE
IIForccd Air . i-lRadiant IIStcam [~A/C 'r'lveat IIElectric
IS CgvMNEy BEING LINED ]~No IIYcs - LINER
Note: All chinmcys shall be sized per the BTU's being vented.
IiHotWatcr OSuppl. OCon. Bumcr
& MANU ACTURE
~ TYPE OChirnncy A OChinmcy B . ~ Vent OOther
w~:AT LOSS OAs Approved OExisting ONot Applicable
BTU RATE OAs Per Plan OVariable OOthcr V~lu~
DESCRIPTION OF ALL WORK BEING DONE Y"e~'~O,/( ~ ~'-['}(A 0=j-~ ~[
oeor
VALUE (Including labor and a~ mateHa~ including light
ELECTRICAL CONTRACTOR
attached. If not attached or not applicable, a scpantte Electfi~ P~mit is rcquircd.
9/02
O? Oa
OO,
Oshkosh
}Ix
Electric Installation Verification
~t~Cd ~n~torNa:~)
(A4c~.e.) ' (Ci~y) . (au.e) (zip Code)
~vo l~ea contracted to p~ ele~c ~on ~ for ~,
~ Ofp~ ~n~ to)
Thru nature of th~ work mira of: ( .Ch~k One or De~n~ tbs Nature of Work)
Reconneofion or new circ~R for rephcement Heating P~t ~or ~C C~~.
~eo~on or ~ ~t for ~l~t ~o Wm~r H~= or ~w= v~t~d
~ ~8 ~ duc ~ si~ / mffit ~l~n. Note: N~
A~~on orn~ ckc~t for ~ r~~t ofo~ p~,~y
~p~ / ~.
N~ ~t f~ ~e ~fi~ Of~C ~ m ~ivid~l ~wll~g ~
~1~o~ o~e~.
The value oftl~s wc~ i~ $~.
I hamby v~fy thit work will. b~ pl~t'ona,d by an ~aploy~ o~ this comi~my and further verify
the reco~a~on / installation will be dona in compliance wl:h manuS~"mter a:xi ~Jectric code
(Print Namz of Offic,=')