HomeMy WebLinkAboutHVACOSHKOSH
ON THE WATER
.lob Address 1223 LIBERTY ST
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JEFFREY L HANFORD ESTATE
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
104480
09/15/2003
Other J
Vent J
Use/Nature SFR/Install 60m btu furnace, 18m btu A/C & ductwork.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 09/30/2003
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.
Cit~ of Oshkosh
Divisio~ of Inep~¢gon Scl'vices
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
aac va
s. P 3 0 OJT-KOJI-I
HVAC PERMIT
OF
~o~1~ a~licago~ ~ not
· Applicaiion(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~vices, 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 varticipatine in the 'Permit fee Account System and have adeo~4(Uq fg~d~, chqck here
if you want this processed through your account [-] /
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Sing1¢ Family VIDuplex V1Multi-Family
[-]R~tal VIComm~x~ial OIndus~al
FUEL [NGas mElectric ClSolid SYSTEM ~ew ElReplace
mOil ~Solar OOther
TYPE
~orced Air ORadiant OSteam OA/C OVent OElectric OHot Water ElSuppl. OCon. Burner
IS CH I ~NEY BEING LINED ~hNo OYes - LINER. SIZE,
Note: All chimneys shnl! be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
E]Chiirmey A
l~.As Approved
~ Per Plan
EIChimney B
ElExisting '
OVariablc
DESCRIPTION OF ALI, WORK BEING DONE
& MANUFAuI'tJRER
VALUE (Including labor and all materials including light fixtures) ~ ~
0 For applicable projects, an Eleclxic Installation Verification form, signed by thc Elcct~cal Conwactor, must be
attached. If not attached or no~ applicable, a separate Electrical Peav~ is required.