HomeMy WebLinkAbout0101717-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 500 JOSSLYN ST
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JAMES J LANG
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
101717
05/22/2003
Other
Vent J
Use/Nature SFR/Install 24m btu, 2 ton, A/C w/fan coil (30m btu) and ductwork. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$71.00
Date 05/22/2003
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 Oshkosh
Division oflmpection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERIVtlT' IC N
All information after ~ld
~o~le~ a~fio~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permits) will result in fees being doubled or $100:00 plus the
normal permit fee, which ever is greater.
If you are a contractor varticivatine in the'Permi[ '~ee Account SYstem and have ad¢o_~tate funds, check here
if you want this processed thromrh vo~tr ~¢¢o~t r~
JOB ADDRESS
.500 O0 55 L',t N $-F'
DATE
ow a -JACF-- LCNC
CO~CTORMCM AIRr INC 6122 COUNTY RD M WINNECONN'E, WI 54986
582-4402 FAX 582-0136
CI~.~ [] Al,l, APPLICABLE
B8ol~
EIForced Air EIRadiant OSteam XA/C f'lVent EIElcetric
IS C~Y BEING LINED EINo BYes - LINER SIZE
Note: All chimneys stroll be sized per the BTU's being vented.
C~Y TYPE f'lChinmey A EIChimney B
I~EAT LOSS l-lAs Approved r'lExisting
BTU RATE I'lAs Per Plan OVariable
OHotWater EISuppl. OCon. Bumer
& MANUFA~
· BDk~t Vent
nNot Applicable
OOther
9/02
Jun
Oshkosh
Inspections 9~0-236-$0e4 ~.2
Electric Installation Verification
(EtectriCal Co%actor lqamo)
(,~tc~) (Ciq~)' (State) (Z~ Code)
hay= been contract~ to p~ eleo~c ~tiou w~ for ~,
The nature of the work consists of: (.Check One or Dcscn'be the Nature of Work)
Reoonneolion or new circ~t for replacement Heazin~ Plant and/or A/C Condenser.
Recon~eotion or new oircuit for replac~n~t Blecttic Water Hea~er or power ve~ted
Recon~eclion of thc Service F. atrance Cable, Meter Box, altemIions to recep~cles
· md lishtlng fixtures duc to sidins / soffit installation. Note: New Service
Entrance Cables will ~cquire a separaze pexznit.
R. ecor=lection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition Of A/C to an imtivid~,al d~eelllag uaiz (house or the
individual systems in a duplex or co~ominium), includi~.$ required service
eleotrioal outlets.
The value of this work is S~.
I hereby verify this work will. be performed by an employee of this company and further verify
t~ reco~.~ctio~ t installation will be done in compliance wi:h ma~u.~'mrer and Elecuic code
requirements.
!
(Print Name of Officer)