HomeMy WebLinkAbout0103591-HVACOSHKOSH
ON THE WATER
.lob Address 2421 DOTY ST
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner GENE/MARY L FELX
Category 500- Residential-Heating & Ventilating
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
103591
08/19/2003
Other
Vent J
Use/Nature SFR/Install 45m btu furnace and ductwork.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$57.50
Date 08/19/2003
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.
Ci~7 of Oshkoah
DivisiOn of Inspection Scrvices
P.O. Box 1130
O~hkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 ..
HVAC PERMIT APPLICATION
AU~o~o~,a,r~ol~t,~o~.,,-,,~t~pro,~t AUG 1
Incomplete applications will not be proc~_sed.
9E?ARTMENT OF
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed ~~'~1~[~t25,
Oshkosh WI 54903-1128.. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[f ¥¢u ¢r¢ g CQntractor vartictvating in the Permit fee ,4ccount System and have adeauate funds, check here
if you want this vrocessed through your account [-]
JOB nnDm~ss 24 Z t ~o-~ q $ ~-
CONTRACTOR ~.~.,~.!~ !~.
6122 Cour~ ~E¢ ~
CH~,CK [] ~ ~P~C~ Winnec0nne, WI 54986
USE CA~RY ' ' ............. :' '" '
~S~e ~ly BD~I~ BMula-F~ly B~ B~mm B~d~
SYSTEM ONew
ccd Air EIRadiant E]Stenm OA/C I-IVent OElectric
IS CltlIvlNEY BEING LINED ~No ~Ycs - LINER SIZR.
Note: All chimneys shall be sized per the BTU's ~ ve~t~d.
F1HotWater ElSuppl. Elc°n. Burner
CHIMNEY TYPE
H]gAT LOSS
BTU RATE
ElChirnney A
I-lAs Approved
I-lAs Per Plan
OChimn~ B
OBxisting '
OVariablc
ClDirect Vent
I-INot Applicable
OOth~ Value
EIOther
DESCRIPTION OF AI.I. WORK BEING DONE C¢~E~-~E~ ~:.~OOO /~-/_~ Ft'~/k/l~'d~
ct bract ~o~l&
VALUE (Including labor ~nd aU materials includi.~ light fixtures) ~; ~ ¢~'/~ ':: "::'
-' 5'7,
~/For applicable projects, an Electric Installation Verification form, signed by the Elect~cal C0n~or, must be
'attached. If not attached or not applicable, a separate Blcctrical P~mlt is required. '
9/02
'~,b~kWl 941~'1130
Electric InstillAtion Yerlflcition
(s~)
I haob¥ veri~ this wor~ wGl be p~ct'onned by an ~,~2oyoe ot this ..~.~. ~m7 and ~m~ verif~
r~q~,