HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1532 MAPLE AVE
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES S/MARY E HOPP
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 O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
L~ Solid
103755
08/27/2003
Other
Vent J
Use/Nature SFR/Replace furnace with new 60m btu furnace. Install new Carrier coil in new furnace plenum for owner's existing a/c. *EIV form from Seckar
of Work Electric.
Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $56.00
Issued By: Date 08/27/2003
Permit Voided J
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.
Division of Inspection Services
P.O. Box 1130
Oshkosh, Vel 54903-1130
Phone (920) 236-5050
HVAC PERMIT
aa T OF
o=pl appuca o"'war t ' Et/E -
LOP IENT
· .application(s) and f~(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128.- Commencing work without l~'li~it(s) will r~sult in fe~,s being doubled or $100.00 plus the
normal l~.alt fee, which ever is greater.
OR
If you are a contractor varticioatine in the Permit fee .4ccount System and have adeauate funds, check hqrq
if you want this vrocessed through your account
CIi~CK [] ALL APPLICABLE
USE CATEGORY
I~ingl¢ Family E]Duplcx ClMulti-Family
[-ICommorcial I-[lndllstrial
FUEL l!]rGas I-IEle~lric OSolid SYSTEM ONcw ~cplacc
I-1Oil r'lSohr OOtl~r ......
TYPE
~Forced Air [3Radiant t=lStcam EIA/C EIVent f'lElcctric Elliot Water r=lSuppl. EICon. Burner
IS £:- ~ mlI~IEY BEING LINED'~No OYes - LIi',IER SI~
Note: All chimneys shall b~ sized p~ the BTU's ~ v~nt~d.
& MANI~ACTURER
l~Yaer 9'7 ~
CHIMNEY TYPE OChima~y A [ilChimncy B ElDirect Vent
HEAT LOSS f'lAs Approved ]~lExisting ' f-INot Applicable
BTU RATE DAs Per Plan [~l,Variahie ElOther Value
VALUE (Including labor and aH materials la¢ludlni~ "iht flxture~) $ ~.~/'} 0 0 ~
X For applicable projects, an Electric Installation Verification form, signed by th~ Electrical Contractor, must be
attached. If not attached or not applicable, a s~parat~ EleeWical Permit is rexluired.
9/02
Electric lmtalhflon yeriflc~on