HomeMy WebLinkAbout0102404-HVACOSHKOSH
ON THE WATER
.lob Address 3400 EICHSTADT 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 FOX CITIES CONSTRUCTION
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 IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102404
06/19/2003
Other J
Vent J
Use/Nature NSFR/Install 60m btu furnace and ductwork.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 06/24/2003
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
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proc.essed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128; Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater..
OR '
If yoU are a contractor participatinz in the Permit %e Account System and have adeouate funds. ¢I$¢~k hqr¢
if you want this processed through your accountr-] -
CONTRACTOR MCM AIR, INC. 6122
E]Multi-Family
COUNTY RD M,
C~CK ~ ALL APPLICABLE
USE CATEGORY
l~Single Family C]Duplex
5.82-4402 FAX .
CIRental
- NITY DEV£LOPM Nr
rqCommercial [2Industri~ -"'
FUEL J~s f-lElectric FiSolid SYSTEM ]~ew FiReplace
~Oil r'lSolar FiOther '"' '
TYPE
,E~Forced Air UIRadiant FiSteam FiA/C FiVent FiElcctric FiHot Water FiSuppl. f'lCon. Burner
IS CHIMNEY BEING LINED [~No I-lYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFA~
CHIMNEY TYPE
HEAT LOSS
BTU RATE
cIChinmey A
~s Approved
~[As Per Plan
FiChinmey B
FiExisting
FiVariable
FiDirect Vent
FiNot Applicable
FiOther Value
DESCRIPTION OF ALL WRRK BEING DONE
VALUE (Including labor and a. mate.als including light flxture~) $ /~' ~ 00-
ELECTlUCA CO P. CrOR \
[~ For applicable projects, an Electric Installation Verification form, signed by the Elcctfical'Conwactor, must be
attached. If not attached or not applicable, a separate Electrical Peiii,it is required.
9/02