HomeMy WebLinkAbout0081345- HVAC (furnace) 0 CITY OF OSHKOSH No 0081345
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 944 N LARK ST Owner JAMES/KATHERINE J DOBISH Create Date 09/21/2000
Contractor MCM HEATING Category 502-Residential-Both Plan
Fuel ✓ Gas Oil I Electric I Solar 1 H Solid
System ❑ New aReplace 1 J Other
U Forced Air u Radiant u Steam U NC J Vent
I Electric Hot Water Suppl. Con.Burner 1
Chimney Type 0 Chimney A 0 Chimney B U Direct Vent O Not Applicable
Heat Loss O As Approved O Existing O Not Applicable Value _
BTU Rate 3 As Per Plan C) Variable 0 Other Value
Use/Nature SFR/REPLACE 60,000 BTU FURNACE AND 24,00 BTU NC
of Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $95.00
Issued By: k. ,; ; _, Date 09/21/2000
0 Permit Voided
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
•
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
41H Oshkosh, WI 54903-1130
N TME W 0 Fax # (920) 236-5084
C1. 1Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE `l - ( 9 - 0 d
JOB ADDRESS q ii-q N . La I(`k
OWNER D (-5 IQ I S t)
MCM AIR INC.
CONTRACTOR 6122 County Rd M
WinnROAnna, WI 54Q80
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL (GA) OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER` PLAN - VARIABLE OTHER VALUE
NATURE OF WORK:1 fltc 1 1 C a r r t e v• 5 d'IVB Pd / G 6�, Gla 13T U c t�v� In a2�
38TKe aa.4 Ooo BT u h/C
VALUE (Including labor and materials) $ (600C-J..
ELECTRICAL CONTRACTOR E a v EJ e.Ctr C
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$1, 000 .01to $10, 000 00 $2 0 .0 0 for first
$1, 000 .00 plus $1 .50 per $100 . 00 valuation or part thereof
$10, 000 .01 to $25, 000 00 $155 .00 for first
$10, 000 .00 plus $1 .00 per $100 .00 valuation or part thereof
Over $25, 000 . 00 .... _...._..$305 .00 plus $0 .50
per $100 .00 valuation or part thereof
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 .00 plus the normal permit fee, which ever is
greater.
FROM SECKAR ELECTRIC FAA NO. : 9202313950 Oct. 22 2000 11:21AM P1
81345
Gy of Ushkot,h
•
pamion of Inspceoon Semen
215 Church Avenue
PO Box 1130 , , '
Offices"WI 54902-11)0
0/1 /N {,
Office 9z0-az3�-soso i
ON' i...Ana Fix 920.23650111 ,f
Electric Installation Verification
•
(I)(We) Seckar Electric Company Inc.
(Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, Wisconsin 54986
(Address) (City) (State) (Zip Code)
MCM AIR
have been contracted to perform electric installation work for
(Name of party contracted to)
at the following address: 944 LARK STREET
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding/soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures,
Other
The value of this work is S ZOO.o "
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
Diane R. Seckar October 22,2000
IZ-SA,cie,
(Signature ofany Officer) (Print Name of Officer) (Date)