HomeMy WebLinkAbout0104723-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 870 HARBORVlEW CT
Contractor MCM AIR INC
Fuel [~J Gas ~
System ~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner JOSEPH JAMES SALAS
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan O Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104723
10/10/2003
Other J
Vent J
Use/Nature SFR/Install 60m btu furnace and 24m btu a/c. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$77.00
Date 10/10/2003
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.
Division of I~ction Senrices
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
~ (920)" o ~ ~: d~m
· ~i~on(~)~ ~,)~ b~ ~ou~ ~o Ci~.~., ~oom ~0~ o~ ~.~ ~o ~2~, ~O ~ox .~,
Os~osh~ 54903-1128. Com~cingw~k~out~t(s)~llms~tEfees~gdoubledor$100.00pl~e
noml p~t fee, w~ch ev~ is ~eat~.
OR
If vo~ are ~ coatractor pdrtici~ti.e i~ the Per. it fee Account SFstem aad have adequate f~ads, check here
if you waat this processed through your dcco~at ~
CONTRACTOR MCM AIR, INC. 6122
COUNTY RD Mr WINNECONNE, WI 54986
582-4402 FAX 582-0136
CHECK [] ALL APPLICABLE
USE CATEGORY
EtSingle Family F1Duplex
ElMulti-Family ElRental
EICommcrcial
FUEL [~Gas [2]Electric r-lSolid SYSTEM E]New ~eplace
I-IOil i-ISolar r-IOther
TYPE
[2~-Forced Air FIRadiant FISteam I~dC F1Vent F1Electdc r~Hot Water FlSuppl. ElCon. Burner
IS CHIMNEY BEING LINED ~No r'lyes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
~ot~er PVOo
CHIMNEY TYPE r~Chimney A r~Chimney B FIDirect Vent
HEAT LOSS [qAs Approved [~Existing FINot Applicable
BTU RATE F1As per Plan [BVariablc FlOther Value
VALUE (Including labor and all materials including light rmures) $ 1~'~ 0 0
~.L~CmC~ COXT~CTOR ~ ez~a'e- ~\ ~
~For applicable projects, ~n Elecn'ic Installation Verificatien form si~ned by the El¢¢~cal Comra~tor, must be
attached. If not attached or not applicable, a separate Elemrical Permit is required.
9/02
Electric
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