HomeMy WebLinkAbout0104371 HOSHKOSH
ON THE WATER
.lob Address 2217 MOUNT VERNON ST
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
Owner DEL TRITT CONST LLC
Category 502- Residential-Both
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
L~ Solid
104371
08/28/2003
Other
Vent J
Use/Nature NSFR/ Install 40m btu furnace, ductwork and 18m btu A/C.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 09/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
a~o~ Oshkosh
Division of Inspection Scrviccs
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OJYKOYH
· :-.
All infom~tion afl= bold cat~so~i-~ ~ iL0 Pl~/1 ~co~lc~ a~li~o~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sorvices, PO Box 1128,
Oshkosh WI 54903-1128.. commencing work without p~ufit(s) will result in fees 10c~ng doubled or $100.00 plus the
normal permit fe~, which ever is greaterl
OR
If you are a contractor vartictvatin~ in the Permit tee Account System and have adeouate funds, check here
i£ vou want this vrocessed throueh your account [-]
ADD ESS/ '7
comxscroa
DATE
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family ElDuplex
[2Multi-Family ElRontal
r'lComm~l-Gia]
FUEL [511Cras ElEl~a'ic QSolid SYSTEM l~l~w [~R~la~
ElOil ElSolar ElOther. '
TYPE
[5!lPorced Air I-1Radiant OSteam [~dA/C I'lVent OElectric OHot Water OSuppl. f'lCon. Burner
IS CHIMNEY BEING LINED [~qo 0-1Yes - LINER SIZE.
Note: All chimneys shell be sized per the BTU's being vented.
& MANL~ACTURER
CHIMNEY TYPE DChimney A OChirrmey B ODireet Vent
HI!fAT LOSS ~ Approved ElExisting ' ElNot Applicable
BTU RATE ~[As Per Plan ElVariablc EIOtbor Valu~
DESCRIPTION OF .A~.~I,L WORK BEING DONE'-~Y/.~'~ Q~{ I
YALUE ~lncluding I,bor slid ,11 ~,erJ~, includin{ Ii{hr ~es) $ ~,,.~ O O~- :
[] FOr applicable projects, an ~1¢¢tri¢ InStallation ¥~ification form, .~iga~l by th~ ~.l~tfical Contractor, must b~
attached. If not attached or not applicable, a separate EleCtrical ?ecmit is rcqair~d.