HomeMy WebLinkAbout0101716-HVACOSHKOSH
ON THE WATER
.lob Address 1405 COOLIDGE AVE
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 HRS DEVELOPMENT INC
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
101716
04/23/2003
Other J
Vent J
Use/Nature NSFR/ Install 60m btu furnace, 1.5T 18m btu a/c and ductwork.
of Work
Fees: Valuation
Issued By:
$5,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$83.00
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DEPART ,ENT OF
.v^c
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
· 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate .funds, check here
if you want this processed through your account
JOB ADDRESS
DATE
CONTRACTOR
CHECK [] ALL APPLICABLE
MCMAIRINC,
6122 County Rd M
Winneconne, WI54986
USE CATEGORY
~ Single Family mDuplex
F'lMulti-Family
EIRental FICommercial Fllndustrial
FUEL }51(Gas FIElectric F1Solid SYSTEM )~4ew V1Replace
F1Oil F1Solar I-IOther
TYPE
F1Forced Air F1Radiant F'lSteam ~(A/C FIVent []Electric
IS CHIMNEY BEING LINED ~No F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
Ci--HMNEY TYFE
HEAT LOSS
BTU RATE
[]Cl-dnmey A
r-lAs Approved
F1As Per Plan
U1Chimney B
[]Existing
[]Variable
F1Hot Water []Suppl.
& MANUFACTURER
F1Direct Vent
V1Not Applicable
[]Other Value
E~Other ~ VC
nCon. Burner
DESCRIPTION OF ALL WORK BEING DONE
S¢c4cco'tO o e "co
VALUE (Including labor and all materials including light fixtures) $ ~ oo
ELECTRICAL CONTRACTOR ~O tV0 ¢lZS 't~ bi, c1- Iz-.t ~- A I~ .~ ~.~oo
[] 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