HomeMy WebLinkAbout0104398-HVACOSHKOSH
ON THE WATER
.lob Address 2475 SHORE PRESERVE 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 NORTHSHORE REAL ESTATE DEVELOPIV
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104398
09/15/2003
Other
Vent J
Use/Nature NSFR/ Install 80m btu furnace, 2.5T 30m btu A/C and ductwork.
of Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$95.00
Date 09/25/2003
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 11~0
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
" SEP 2 5 1003~
HVAC PERMIT APPLICATION
All information after bold cat~ofies rn~,,~ be t~aENT OF
~¢om¢~ .ppU=.,o=,,ill=ot ~ITY DEVELOPMENT
· Application(s) and fcc(s) can bc brought to City Hall, Room 205 or mai]ed to Inspection Scrvices, PO Box 1128,
Oshkosh WI 54903-I 128.. Commcncing work without l~'mit(s) will result in fees being doubled or $100.00 plus thc
normal permit fe~, which ever is ;rcatcrl
OR
If you are a contractor vartictoatin~, in the Permit fee ,~ccount System and have adeouate funds, check hqr¢
if you want this t~rocessed through your account ["]
JOSAm)m~ss ~¼q ~ 5~oga
CONTI4~CTOR
CHECK [] ALL APPLICABLE
MCM AIR INC,
6122 County Rd ~
Winneconne, W! ~4 qS ~,
USE CATEGORY
~Single FamilY BD~I~k.; EIM~ulti-Family . ORontal ElCom~
~L ~Gas E]Eleclxic OSolid SYSTEM ONew OReplace
. ": ' COil: I E]s01ar~ , : · OOther '
TYPE
[~}gorced Air ElRadiant OSteam OMC EIVent EIEleotrio
IS CHI1VINEY BEING LINED J~No nyes - LINER SIZE
Note: All ehinmeys shall be sized per the BTU's being vented.
OHot Water ElSuppl. OCon. Burner
& MANUFAC'I%IR/~
CHIMNEY TYPE OChirnney A ElChinmey B ODirect Vent ~Other ~VC
klY2AT LOSS OAs APprOved [3Exist.ag ' EINot Applicable
BTU RATE OAs Per Plan OVariabl¢ OOther Value
DESCRIFTION OF ALL WORK BEING DONE O.A~EIEP-. ~O~OC)O ~'f-13 ~t}~NIA66
YALUK(lnc!udinglaborandaHmnteHa!sindudingUzhtflxtuFes)$ (45000 ~ 60 ::S ~i::'
For applicable projects an Electric Installation V~'ification form, ,itmod bY tl~ El~trlcal Cm~or mm ~
'} ~ a~e~ If not a~ched or not'applimble, a ~m~ El~ffic~ P~iidt is ~.
9/02