HomeMy WebLinkAbout0101614-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1713 WESTERN ST
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 RICHARD G MARKS
Category 501 - Residential-Air Conditioning
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
101614
05/19/2003
Other
Vent J
Use/Nature SFR/Install 2T 24m btu A/C with fan coil and ductwork. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$68.00
Date 05/19/2003
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~coah
Division oflmpection Se~ces
P.O. Box 1130
Oshkosh, WI 54903-113O
m~on~ (~0) ~-SO~O
F~ (9~0) ~50~
HVAC PERMIT .~,~~/~r OF
Application(s) and fee(s) can be brought to City Hall, Room 205 or ma/led to Inspection Scrvice% PO Box 1128,
Oshkosh W1 54903-1128. Commcncing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal pcrmit fee, which ever is greater. ' ·
OR
If you are a contractor varttclpattn~ in the'~ermti'fee ~4ccount System and have ade~Uate funds, check here
lf vou want tht# _~rocesscd through your account []
FUEL f=lElectric r'lSolid SYSTEM
nSolar
JoB nVlmr,ss ~ q 1:3 ~ F.~r g g kt
co~~oa,~c~ Az~, z~c ~z~ c0u~ ~p ~ ~z~co~,
582-4402 FAX 582-0136
~~ z ~T'T':~PU:C~~:~''' :~ .... /
.' ........ · ,:~ ............... .:~ .,.:,,..,.: ..................... '.' ',.~...' ' ' .... :'.,C.
U~ CA~RY
TYPE
E]Forced Air . ORadiant ElStcam ~aJC OVent OBlectric
IS CHIMNEY BEING LrNED EINo OYes - LINER
Note: All chimneys shall be size.~ par the BTU'$ b~ing w'at~d.
OChimncy B
OExisting
ClVariable
OHot Wat~ OSuppl.
· ODir~t Vent
ClNot Applicable
OOther
EICon. Burner
CmMMEY TYPE
lq'~ AT LOSS
BTU RATE
OChinmcy A
I-lAs Approved
OAs Per Plan
DESCRIPTION OF AI.I. WORK BEING DONE
VALUE (Inciiiding labor and all mate. als Including light flx~es) $ ~9/~ oo ...............
ELE~CAL CONTRACTOR ~ ~C~ 17-_ ~;~::39 .~)~0
.~'For ~pplicabl¢ projects,' ~n Electric Inst~ll.tion V~ifiea~ion form, signed by tl~ Et~-~rtcal 'Conmmt~, must b~
attached. If not attached or not applicable, n ~ El~rrical P~mit i~ r~l~
n/o2
O70a
00~49a
OShkosh
Electric Installation Verification
The nature of the work consists of.'
(.Check One or De,/be the Nature of Work)
R. eoonneotion or n~w circuit for rephce~eat Heating Plant and/or A/C Comtmsar.
~rmeCliOn or new circuit for replacement ~leclric Wa~r Hea~er or power vented
R~xmncction of thc $crvicc Bummc~ Cablc, Me~er Box, elMre~ons u~ recep~les
and lishling fixturcs due to sidin~ / soffit installation. Note: New Setwice
:Entrance Cables will requ/re a se/~rato ~'m/t.
R.ecora:ect/on or new circu/t/'or the replacement of other permanently w/red
appli~ce~ / fixtu~.
Hew circu/t for the addition Of A/C to an l~ividua! ~elil~& ~L,~i~ (house or the
individual ~y~tems in a duplex or co~/omin/um),/ncludi~.$ required service
elects/cai outlets.
The value of r~is wozlt b S~..00
I hcr~y veery this wo~ ~.be p~om~ by ~ ~ploy~ of ~s c~p~y ~d ~ ved~
~ ~~ / ~on ~ be done ~ co~~ ~ m~u~ L~ EI~c ~e
~u~mm.
(Print Name of Officer)