HomeMy WebLinkAbout0104369-HVACOSHKOSH
ON THE WATER
.lob Address 210 FARMSTEAD LN
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 US LAND DEVELOPMENT 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 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
104369
09/22/2003
Other
Vent J
Use/Nature NSFR/ Install 60m btu furnace, 30m btu A/C & ductwork.
of Work
Fees: Valuation
Issued By:
$6,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$99.50
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.
Cily of Oshkosh
Division oflmpection S~tices
P.O. Box 1130
Oshkosh, WI 54903-1130
Pben~ (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPMCATIO
All information after bold categories must be p~ovided.
Incon~ple~e applications will not be preceded.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or marled to Inape~tion Sorvicca, PO Box 1128,
Oshkosh WI 54903-1128.. Commenting work without permit(s) will rcault ia fcca being doubled or $100.00 plus the
normal permit fcc, which ever is greaterl
OR
If you are a contractor vartictvatin~ in the ~Verrnit fee Account System and have adeouate funds, chqck here
if you want this orocessed throu~h~vour account
CON'fRACTOR MOM AIR ]NO.
6122 County F~ M
Winneconne, WI 54986
C~EC[ [] ALL
sE CATEGORY
ingle Family [3Duplex [3Multi-Family [3Rental [3Commercial [3Iudustrial
FUEL ~oiS [Z]El~ric rqSolid SYSTEM J~lq~w OP,~plac~
1 I'lSolar OOthcr '
E
~o]rcedAir E]Radiant ElSteam ~AJC OVent OEle~xic
IS ~Y BEING ~)~No OYes - LINER SI~
Note: All chinmeys shall be sized per t~ BTU's being vc-ated.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OC~imney A
OAs Approved
OAs Per Plan
OHotWa~r ElSuppl. I-ICon. Burner
& MANUFAufORER
DChinm~ B ODir~t V~at
OExisting ' rnNot Applicable
OVariablc OOther Valuc
DESCRIFrIoN OF .aLL WORK BEING DON~E ~,~ ~O t, oO {.~3~O OO [STO
VALUE (Including labor and all materials including light fixtures) $ (/P~O0 0 '~
:' qq, 50
ELECTRICAL CONTRACTOR ~'d) Ul L'a ~'~ ~ UF-CTF--~c ~,a~ NJ
[3 For applicable projecta, an Elccu'i¢ Installation Verification form, signed by thc Electrical Con.tot, must be
attached. If not attached or not apPlicable, a separat~ Elvztrical Pa'mit is r~luired.
9/o2