HomeMy WebLinkAbout0098808-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 240 S LARK ST
Contractor MCM AIR INC
Fuel b~J Gas I
System [] New
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Chimney Type ~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
Owner KEITH T KRAMER
Category 500 - Residential-Heating & Ventilating
Oil ] L~ Electdc
[] Replace
Radiant J b-J steam I bJ A/C
Hot Water I ~ Suppl. I [] Con. Burner
~.~ Chimney B O Direct Vent O Not Applicable I
O Existing O Not Applicable i Value
~ Variable O Other I Value
No 98808
Create Date 11/26/2002
Plan
' [] Solid
[] Other
kJ Vent
Use/NatUre SFPJ Install 80m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid
Issued By: kl~l~
[] Permit Voided i
' ' $48.50
Date 11/26/2002
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
city orOshto~'
Divi~io~ of~ Scrvic~
P.O. Box 1130
~ WI 54903-1130
Phone (920) 236-~050
Fax (920) 2365084
HVAC PERMIT
· Application(s) and fee(s) can be brought to City Hall, Rootn 205 or mailed to lnspe~on ~ PO Box 1
Oshkosh WI 54903-1128. Commencing work without penni .t(s) will re~ult in fees being doubled or $100:00 plus the
normal p~-mit fee, which ever is greater.
OR
If you are a contractor vartict_oattn~ in the'~ermti 'fee Account System and have'adequate funds, check here
if you want this t~rocessed throurh your account ~
CONTRACTOR MCM AIR, INC
Cm~.CK l~l ALL APPLICABT.~.
USE cATEGORY ~"
6122 CQUNT¥ RD M
582-4402 FAX
C~.D~I~x` OMulti-Famil¥ ClR~atal
FUEL ]~C?ms O~ectric OSolid .............. $Y~
OOil ElSolar
TYPE
~Forccd Air . I'lRadiant OStcam I'IA]C OV~nt O~l~ic
IS CHIMNEY BEING LINED ONo II,LYes - LINER SIZE.
Note: All chimneys shall be sized per the BTU's being vented.
WINNECONNE, WI 54986
582-0136
EIHotWator OSuppl. EICon. Burner
~TYPE
HEAT LOSS
BTU RATE
OChinmcy A
r3As Per Plan
oChimncy B
I~.Existing
I~Yariable
DESCRIPTION OF ALL '~ORK BEING DONE L%5 ~O~ \ i
ClNot Applioable
OOther Value
O_.a'r v lr- MVPO 4
ELECTRICAL CONTRA~OR S '~ ~k('~ ~ E J~.. 0~? Pl ~ .--
/ ' ~For appli~ble projccts,'.an Electric Installation Verification form, signed by thc Elc~'trical Contractor, must-be
attached. If not attached or not applicable, a scpara~ Electrical Permit is required. '
9/02
MW]
Electric lnstallatiou Verification
TI~ nsivre of the wo~ consists off (C'o~ck One or Desto'be tho Nature of Work)
l~.econ~e~/on or new drcv~ for roplacem~ Hea/n/Phnt a~l/or A/C Co~.
~~on or ~ ~t f~ ~~~ ~c We~r
~~ of~ S~ ~~ ~1~ M~ Box, ~ons
~e C~l~ ~ ~ a ~ ~t.
i~~ ~ ~ ~ dup~ or ~~ ~1~S ~ s~ce
I hereby verify this work will be p~t'ormed bi, aa mrployee of this company sad ttnher vcrif~
~ ~,coaaectio~ / instaJlatioa will be done ia core,Ii.ce wkh aamafsctur~, a.-xi ~ecuic code
(D~)