HomeMy WebLinkAbout0101797 HOSHKOSH
ON THE WATER
.lob Address 1522 S OAKWOOD RD
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 PHYLLIS L LACOURSE
Category 500- Residential-Heating & Ventilating
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
101797
04/02/2003
Other J
Vent J
Use/Nature SFR/Add basement duct w/supply and return air runs.
of Work
Fees: Valuation
Issued By:
$600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
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
P.O. Box 1130
Oshkosh, WI ~4903-1130
?]x~ (920) 236-~050
F~ (920) 236-5084
R ECEiVED
APR 0 ? ~0,5
HVAC PERMI~A~~'I~i]DN "
OR
6122 COUNTY RD M WINNECONNE,
582-4402 FAX 582-0136
ClMulti-Fmmily [3Rental
JOB ADDRE~ 15~-
CONTRACTOR MCM AIR,
USE CATEC~RY
~Si-gle Family ODuplcx
INC
FUEL ~..C-as OElectric OSolid SY~
OOil ClSolar
WI 54986
TYPE
~,~orced Air . ORadiant OSteam OA/C ClVcnt OEl~a'io
r"lCommca'cial
OI-IotW~zr OSuppl. OC~Bumer
& ~AClUlU~
· ODircct Vent
ONot Applicable
OOthcr V~lu~
OOther
IS OnMlqEy BEING LINED ONo OYes - LINER
Nme: All chlm-'~ shall b~ sized p~r lhe BTU's bein~ v~mt.
CHIMNEY TYPE OChinmcy A OChinmcy B
m~'.,~T LOSS OA~ .~,prov~ o~.i~in~
BTU RATE I-IA~ Per Plan OV~-iable
DESCRIFI'IONOF~T.v. WORK BEING DONE,.. ADD ~-,t~EJ"AEI'./'T DUCT
VALUE (ladudl~ hbor and ~11 m~t~ri~d~ in~ludlng fight ~u-~) ~ ~ oo
ELECTRICAL CONTRACTOR
not applicable, a separate ~/.Icctrical Permit is required.