HomeMy WebLinkAbout0101857-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 418 W 18TH AVE
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 OPAL J BRADSHAW
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan O Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101857
05/30/2003
Other
Vent J
Use/Nature SFR/Install 60m btu furnace and 24m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 05/30/2003
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 Impection Services ·
~,.o. SOx ~130 · .
Oshkosh, ~ 54903-1130 ' .
Phone (920) 236-5050
Fax (920) 236-5084
Incomplete applications w/II not be ocessed.
pr . ~/y,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection ~, PO Box 1128,
Oshkosh WI 54903-1128: Commencing work without ~tmit(s) will result in f~s being do~$100.00 plus the
normal permit fee, which cvgr is grater.
OR
If you are a contractor ~articit~atinz in the 'Permit fee Account System and have adeauat¢ funds, check herq.
if YOU want this vrocessed through your account [-]
CONTRACTOR MCM AIR, INC. 6122 COUNTY RD
WINNECONNE, WI 54986
582r4402. FAX 582-0.136
CHF~CK ~ ALL APPLICABLE
USE CATEGORY
[~SSingle Family ~Duplex
ElMulti-Family
ORenml
I'lCommercia]
I-ILndustrial
FUEL ~lG-as [lEleetric f'lSolid SYSTEM
I-1Oil I-ISolar
TYPE
BlForced Air [lRadiant [lSteam ~AJC [lVent [lElectric
IS CHIMMEY BEING LINED [lNo ]~Yes - LINER SIZE
Note: All ehinmeys shall be sized per the BTU's being vented.
CHIMNEY T~x'q~E FIChimney A r'lC"nimney, B
HEAT LOSS [lAs Approved ~Existing
BTU RATE [lAs Per Plan ~Variable
r'lHotWater r'lSuppl, rlCon. Burner
[lDireCt Vent
[lNot Applicable
ElOther Value
DESCRIPTION OF ALL WORK BEING DONE ~_ i~.%-¥ Ct / I 6 O! Y'- r ~t~ ~ .f~ ~ X ~ 0 6 0
oOo 'BTU t"na. 0..a + 44.0oc .BTV'
· VALUE (InilUding libor;and an materials including Hght fixtures) $ -3 '~ O O
ELECTRICAL CONTRACTOR 3 ~ ~ ~ ~
'~liLFor applicable projects, an Electric Installation Yerification form, signed by the ~.le~lrlcal 'ContraCtor, tnust be
attached. If not attached or not applicable, a separate Electrical Pi/mit i$ required.
~/02
OddmdJWJ S48~.1]~0
Elec~c ~nstllLtflon yeflfication
Th nL~O o~lb wor~ ~ o~ ( .Chock One o~
· ~q=~:4~:m or uaw ~t ~or roPlacemeut ~eauto W~dr ]-3eater or POwer ventod
Ippbacel / ~
eleol~f~
I hcroby ve~f~ thb woflc ~ be p~om~ b~ ~n emp~o~e ~his c=nlh~ny m=l fb.,*2~ ver~