HomeMy WebLinkAbout0104812-HVACOSHKOSH
ON THE WATER
.lob Address 45 E WAUKAU AVE
Contractor MCM AIR INC
Fuel [~J Gas ~
System [~J New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner FOX CITIES CONSTRUCTION
Category 502- Residential-Both
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss IO As Approved
BTU Rate IO As Per Plan
Chimney B O Direct Vent ~ Not Applicable I
~ Existing ~ Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104812
09/30/2003
Other
Vent J
Use/Nature NSFR/ New single family HVAC installation.
of Work
Fees: Valuation
Issued By:
$5,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$90.50
Date 10/16/2003
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.
City of Oshkosh
D/vision of Insp~c~on Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT
All iaformalion after bold ~g~cs
~o~1~ ~plicafio~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Insp~ctio~ 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 permk fcc, which ever is grcater~
OR
i w r r
'::7- z'/¢ -0
CHECK [] ALL APPLICABLE
USE CATEGORY
FUEL ,~C_,-~ ' I"ll~l~c EISolid
ElOil ElSolar
TYPE
mC0m~ercial Elladustrial.
SYSTEM
[i;~IForced Air VIRadiant I-ISteam I~l,adC VIVent V1El~tric
IS CHIMNEy BEING LINED I~q'o VIycs . LINER SIZE
Note: All chimneys shall be sized per the BTU's being v~lt~d.
CHIMNEy TYPE CIChinmey A ClChirnney B
H~AT LOSS ~ Approved V1Existing
BTU RATE J[~s Per Plan ClVariable
ClHot Water BSuppl. EICon. Burner
& MANUFAL-I'dRER
ClDireet Vent
ClNot Applicable
12Other Value
DESCRII~ON OF AI.~. WORK BEIN~ DO~ ~?~ ~-O.t 1~ ~ /~/ .... ~ ~ - ,_ ~ ~ .,, ~ -- . _
V~ gncluding labor and an mte~ including Hght ~) $ 5 ~ 00.
. . ' ' s~l ~l
B For apphcable ~ojee~ ~ Elec~ ~salla~on V~fica~on fo~i~ by ~e EI~ ~n~,
"??~'' 'a~Sh~d. If not ~ched or n~t apCJiabl~; ~"~e~ F~.,~{'is'~. m~t ~
9/02