HomeMy WebLinkAbout0102559 HOSHKOSH
ON THE WATER
.lob Address 323 KNAPP ST
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner DEL TRITT CONSTRUCTION
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 ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102559
06/03/2003
Other J
Vent J
Use/Nature NSFR/Install 60m btu furnace, ductwork & 1.5T 18m btu A/C.
of Work
Fees: Valuation
Issued By:
$4,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 07/01/2003
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 otOshkosh
Division of Imp~ction Se~ic~s
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
· Application(s) and fee(s) cma be brought to City Hall, Room 205 or mailed to hmpeetion Service% PO Box 1128,
Oshkosh WI 54903-1128: Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal l~mlit fee, wkieh ever is greater.
OR
l£ vou are a contractor varttetvatine in the Permit fee Account System and have adeouate funds, check I~qr~
if you want this t~rocessed through ¥o~tr a¢¢ott#t ri
JOB ADDRESS ~'~
CONTRACTOR MCM AIR, INC.
CBECK [] AI,I, APPLICABLE
DATE (~ 17o
6122 COUNTY RD M, WINNECONNE, WI 54986
582-4402 FAX 582-0136
USE CATEGORY
~xSingle Family rlDuplcx I-IMulti-Family I-IRental rlCOmmer~ial
FUEL ~ ElEleewie r'lSolid SYSTEM
: ' r'loil ' EIsolar
~orced Air [3Radiant KlSteam/~C ElVent CIElectric
IS CHIMNEY BEING LINED ~No I-lYes - LINER SIZE.
Note: All chinmeys shall be sized per the BTU's being vented.
BHot Water EISuppl. [3Con. Burner
& MANI~ACTURER
CItlMNEY TYPE r'lChimneyA ClChimney B ClDireet Vent ~(Other ~2> x/C
HEAT LOSS [2As Approved CIExist/ng . I-INot Applicable
BTU RATE El.as Per Plan inVariable [~Other Value
DESCRIPTION OF ALL WORK BEING DONE
,.~tqY. AO,bO ~bo ~ooo
$
(Including labor and all materials including light fix'tm'=) $ tdf~::)O 0
ELECTRICAL CONTRACTOR ~ ~) t ~b6~ ~b~ OT~-\C I/x, ~x3
13 For applicable projects, an EleCtric Installation Vorification form, Signed by the Eleotrieal C0h~0r, must be
attached. If not attached or not applicable, a separate El¢otrical Permit is required.