HomeMy WebLinkAbout0105723-HVAC105723
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
FOX CITIES CONSTRUCTION CORP
Job AddressOwner
2355 SHORE PRESERVE DR
Create Date12/01/2003
ContractorMCM AIR INCCategory502 - Residential-BothPlan
OilElectric
üü GasSolarSolid
Fuel
üü NewReplaceOther
System
üü Forced AirRadiantSteamA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
NSFR/ Install 80m btu furnace, 3.5T 42m btu A/C and ductwork.
of Work
Plan Approval$0.00
Fees: Valuation$7,500.00Permit Fee Paid$117.50
Issued By:Date12/11/2003
Permit Voided
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.
SignatureDate
Agent/Owner
Address6122 COUNTY ROAD MWINNECONNETelephone Number920-582-4402
WI54986-9780
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
Division of Inspection Services
P.O. Banc 1130 REc
Eif
O
VEi
shkosh, WI 54903-1130 A
Phone (920) 236 -5050
Fax (920) 236 -5084 DEC 10 200, OTC KeJ4 :
HVAC PERM LIB IT AP ^
All information alter bold categ , . of 7.
_ T OF
• Incomplete applications will not be VELOpi? Et T .
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(:) will result in fees being doubled or 3100.00 plus the
• normal permit fee, which ever is greater.
OR
jf you are a contractor participating bulge Permt uee Account System and have adequate funds. check here
If you want this processed through your account n
DATE 1 Z -6 1 `03
JOB ADDRESS X 5
OWNER X CAVES C.DM51 • (t OMEOW : NAtGE)
CONTRACTOR MCM AIR, INC. 6122 COUNTY RD M, WINNECONNE, WI 54986
582 -4402 FAX 582 -0136
CHECK 63 ALL APPLICABLE
Tr CATEGORY
Single Family ODuplex OMulti- Family (Mental OCommercial Olndustri
�� • al
FUEL t�Kias DElectric OSolid SYSTEM�, �
OOil OSolar OOther
TYPE
orced Air ORadiant OSteam OA/C OVent [Electric [Hot Water OSuppl. OCon. Burner
IS CHIMNEY BEING LINED ONo OYes - LINER. SIZE & MANUFACTURER,
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OChinmey B ODirect Vent $Other P V C-
HEAT LOSS DAs Approved DExisting ONot Applicable
BTU RATE DAs Per Plan [Variable OOther Value
DESCRIPTION OF ALL WORK BEING DONE SS M U Pogo , SO Ooo R r U V U e, N A G S
Sal 3, S T 4210 ° E3C - 1-) A I
Y.9 a(z iL
•
VALUE (Including labor and all materials including light fixtures); 7'5 u '
ELECTRICAL CONTRACTOR U 1 LoERS G 1 J �� ��
1J
0 For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required,
9/02