HomeMy WebLinkAbout0102524-HVACOSHKOSH
ON THE WATER
.lob Address 3408 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
102524
06/19/2003
Other J
Vent J
Use/Nature NSFR/ Install 60m btu furnace and ductwork.
of Work
Fees: Valuation
Issued By:
$4,400.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$71.00
Date 06/30/2003
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 .
Divisi°n of Impection Services
P.O. ~ox ,,30 ~ ~ { WA4 I)
Oshkosh, WI 54903-1130 . ~ ~/~ ,~.~ ,/
Phone (920) 236-5050
HVAC PERMIT APPLICATI~N
.
· Appli~on<s) ~d fee(s) ~ be ~ou~t ~ Ci~ Hall, R~= 205 or ~. ~~c.~ Bo~8,
osco?
noel ~t x~, when ev~ is F~t~. · ~, .
OR ·
ff vou are a contractor varticivatin~ ~n the Permit ice ~ccount 5vstem and have adeoua~funds, check her~
ii vou want this vrocessed
DATE
CONTRACTOR MCM AIR, INC. "6122 COUNTY 'RD M, WINNEC. ONNE,
CFFF~CK [] ALL APPLICABLE
582.-4402
WI 54986
FAX 582,013.6
USE CATEGORY
~;ingle Family I-1Duplex
ClMulfi-Family
DRental [2Commercial DIndustrial
FUEL ~C. ras DElectric C]Solid SYSTEM j~New
ClOil []Solar r'lOther
TYPE
~-Forced Air [Radiant F'lSteam r'iA/C DVent
IS C~Y BEING LINED E~No ClYes - LINER SIZE,
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ' []Chimney A DChimney B
HEAT LOSS .~As Approved []Existing
BTU RATE J~]-As Per Plan []Variable
.L
r'lReplace
C]Electric F'lHotWater f'lSuppl. D-ICon. Burner
i-lDirect V~nt J~lOther ~ V Q.o'
[]N°t Applicable
[]Other Value
VALUE (Including labor and aH materials including Ught fixtures) $ /~'/~
[] For applicable projects, an Electric Installation Verification form, signed by the Elec~cal 'Contractor, must be
attached. If not attached or not applicable, a separate Electrical P~i,idt is required.
9/02