HomeMy WebLinkAbout2003-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 1015 MARICOPA DR
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
Owner EDWARD H GADE III
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 I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105614
12/05/2003
Other
Vent J
Use/Nature SFR/Replace 80m btu furnace and 2T 24m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,700.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$75.50
Date 12/05/2003
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 Oshlwsh ~- - ~~ ~ ~~•~
Dividon of Iaspection Services `'
P.O. Boot 1130 E~: ~ ~'
Osblwsh, WI 54903-1130 DEC O 3 2003
Phone (920) 236-5050
Fax (920)236-5084 i~
p ~IENT OF
HVAC PERMIT APP D~VELOPME~~T
Au iniormatioa after bow peovwed.
. Incomplete application wiU not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Iaspoction Services, PO Box 1128,
Oshkosh WI 54903-1128. Conunettcing work without permits) wiU t+ewlt is fees beiag doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR '
Quart funds. check here
(f voV want this processed t6rouYh , oVr a ount
DATE l~-~ -~~
JOB ADDRESS to ~ ~ I`~11~ ~' ~ ~%~ ~a
OWNER E U y~f ~~ i'_ [~ C: ~ 17 E
CONTRACTOR MCM AIR, INC. 6122 COUNTY RD M, WINNECONNE, WI 54986
5a2-4402 FAX 5132-0136
CHECK ®ALL APPLICABLE
USE CATEGORY
Single Family ODuplex OMult-Family
OReatal _OCommercial OIndustrial
FUEL IdLiaS OElectric OSolid
OOiI OSolar
SYSTEM ONewplace
Oocher '
T~fPE
Forced Air ORadiant OSteam ^A/C OVent OElectric OHot taster OSuppl. OCon. Burner
IS CHIIVIIVEY BEING LINED ,~To OYes -LINER SIZE & MANUFA
Note: All chimneys shall be sized per t~~e BTU's beiag vented.
CHIMNEY TYPE OChimney A OChimney B ODirect Vent l~Other
HEAT LOSS DAs Approved OExis~ng 023ot Applicable
BTU RATE
OAs Per Plan
OVariable
OOther Value p ~ C
DESCRIPTION OF ALL WORK BEING DONE_ ~'- a ~ ~' ~ ~ ~- ~; <:> : CCiC~ i~~ U , ~ -~ -.~ is ~, ~
C 6~ 2 iZ 1 ~ iZ T u A ~ T P ?.~-t , G~ ~ ~~~ l~ F~ ~ G
VALUE (Including labor and all materials iacludiag light lsstur~s) S ~'~Q a o Cr
ELECTRICAL CONTRACTOR ~ ~ G t/A (Z ~ ~ 5 ~ ~C%
j~For applicable projects, an Electric Installation VeriScatiea form, signed by the Electrical Contractor, must be
a ched. If not attached or not applicable, a separate Electrical Permit is togvired,
s/oz
Electric In~to,~tion yerlflc,ttl.on