HomeMy WebLinkAbout0101011-HVACOSHKOSH
O1'4 THE WATER
,Job Address 1155 FREEDOM AVE
Contractor MCM AIR INC
Fuel ~ Gas
System [] New
Forced Air I
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Oil
Radiant
Electric I M Hot Water
Chimney Type ~ Chimney A ~.~ Chimney B
Heat Loss ~ As Approved ~.~ Existing
BTU Rate ~ As Per Plan O Variable
Owner HARRY L/DOLORES WINTERS
Category 500 - Residential-Heating & Ventilating
U Electric ~ Solar
[] Replace I
[__~ Steam
I I Suppl. ~ Con. Burner I
~ Direct Vent O Not Applicable I
O Not Applicable J Value
~ Other J Value
No 101011
Create Date 03/28/2003
Plan
I Il Solid I
[] Other I
L-J NC
Vent
Use/Nature ~FR/Add 2 return air and bath venting.
of Work
Fees: Valuation
Issued By:
$250,00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
$20.00
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~ of ~
P.O. BOx 1130
~ wi ~4903-1130
?ho~ (~0) ~50
F~ (~0) ~50~
i('.E D
HVAC PERMIT APPLICATION DEP/~,RTMENT OF'
,,,u ~rorm,~o~ ~ b~ ,,~,,r~' ~,~ ~ ~E :32~U U NCTY DEVELOPMENT
Applic~fion(O ~l fcc(O can be Mu/Bt to City t.hll, Room 205 or nailed to In~on ~rvic~ PO Box 1
O~l~h WI ~4903-1128. Commcndng work without perm/.t(a) will rc~lt in fcc, bcing doubled or $100.00 plus the
normal permit fee, which ever is greater. ' ·
OR
COI~CTOR MCM AIR,
INC 6122 COUNTY
582-4402
CH~.CK ~ ALL APPLICABLE
ClMulti-Family
u~z
Singlc Family CIDupl~x
DATE,
RD' M WINNECONNE, WI 54986
FAX 582-0136 · .
C]Rc~taJ r'lCommorcial
FUEL ~t//Gas OElcctdc rlSolid SYSTEM ONcw
00/1 ClSohr C]Othcr
~ooLd Air . ElRadiant ElSteam DA/C BY,mt OElCCtric ClHot W~r
IS CHIMNEY BEING LINED ONo OYes - LINER Sr:z~:_...
Note: All chlrtmeys shall be sized per the BTU's being vented,
~ TYPE ClChimncy A ClCh~ B
HEAT LOSS I'IA~ Approved O~,igting
BTU RATE OAs Per Plan OVm-/ablc
OSuppl. CICon. Burner
& MANU~ACTURt~
CrNot Applicable
OOther V~lu~
DESCRIFIION OF AI.I. WORK ~EING DONE..
A\la.
VALUE (Including labor and all materials includlnl Ught fi,x/tm, es) ~;. -": ..... '.':. :: )
ELECTRICAL CONTRACTOR
~ For spplicable projects,' a~ El¢¢tri~ lnsmlhtion Verification form, si~ed by tl~ Ele&rioal'C0n~, must be
attached. If not attached or not applicable, a separate Electrical Permit is reqtfir~