HomeMy WebLinkAbout0101779-HVACOSHKOSH
ON THE WATER
.lob Address 2345 BURNWOOD 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 DRAMATIC DESIGN LTD
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
101779
04/15/2003
Other J
Vent J
Use/Nature NSFR/ Install 80m btu furnace and 30m btu A/C.
of Work
Fees: Valuation
Issued By:
$6,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$102.50
Date 05/28/2003
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 of Inspection Services
P.O. BOX 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
,~ t O g. 5'd
RF jE D
ON THE WATER
NAY 2 5 2003
DEPARTMENT OF
COMI~UNITYU p,~w NT
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection ~ermces, l~q
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!f vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
(f ¥ou want this processed through your account [-]
DATE
USE CATEGORY
~Single Family nDuplex
nMulti-Family
I-1Rental •Commercial I"llndustrial
FUEL 1gl•as nElectric []Solid SYSTEM ]]i[Xlew FIReplace
[]Oil IZlSolar IZIOther
TYPE
,l~lForced Air nRadiant FISteam OA/C I"IVent nElectric F1Hot Water []Suppl. •Con. Burner
IS CItlMNEY BEING LINED I~No BYes - LINER SIZE
Note: All ctfinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE nChinmey A •Chimney B I-1Direct Vent l~lOther ~ 5I 9.,
HEAT LOSS l~l. As Approved []Existing F1Not Applicable
BTU RATE [gAs Per Plan []Variable I-IOther Value
DESCRIPTION OF ALL WORK BEING DONE Tn. ra\l
A/'b7 '
VALUE (inClUdi~:hb;~-a~d ali mat~t2iais]~iCluding lighi, fiXtUreS) $~'a ~(290 ....
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02