HomeMy WebLinkAbout0099111-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1848 DOEMEL ST
Contractor MCM AIR INC
Fuel [~j Gas I ~J Oil
System [] New I
~j Forced Air I ~_~ Radiant
~ Electric I L~ Hot Water
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
99111
Chimney Type
Heat Loss
BTU Rate
Use/Nature
of Work
Chimney A O Chimney B
As Approved (.~ Existing
As Per Plan ~.~ Variable
Owner JOHN W MEYER
Category 500 - Residential-Heating & Ventilating
L~ Electric I [~-~lar
[] Replace
~J Steam J L-J NC
[~ Suppl, I ~-Con. Burner 1
Direct Vent ~I Not Applicable
O Not Applicable I ValUe
~11 Other I Value
SFR/Replace 80m btu furnace. *EIV form from Seckar Electric.
Create Date 12/17/2002
Plan
LJ Solid I
[] Other
Vent
Fees: Valuation
Issued By:
$2,900.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$48.50
Date 12/17/2002
In the performance of this work, I agree to pe#orm 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 of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI ~903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
RECEIVED
DEC '1 7 ?.!.)0~
lncompl~ applications ~ not ~ ~
OJt-KOJH
ON THE WATEI~
· Application(s) and fe~(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Comm~cing work without p~nnit(s) will result in fee~ being doubled or $100..00 plus the
normal pennit fe~, which ewr is greater.
If.you are a contractor oarticivatin~ in the'Permi[ 'fee Account System and haVe'adeouate funds, check herq
if you want this processed throul~h vo~tr
OWNZa 'J6¼~d V~'q~ -
CON'IIA~CTOR MCM AIR, INC
CItF~CK ~] AI.I, APPLICABLR
6122 COUNTY RD M WINNECONNE, WI 54986
582-4402 FAX 582-0136
USE CATEGORY
~Single Family l-lDuplex ElMulfi-Family ElRental ElCommereial C]Industrial
r'loft E]Solar ElOther
TYPE
OForced Air I-IRadiant rlSt~am El)dC 'OVent OElectric
IS CHIMNEY BEING LINED ONo ~Ycs - LINER SIZE
Note: All chimneys shall be sized ~ the BTU's being v~ll~d.
rlHot Water I-ISuppl.
& MANUFACTURER
I-ICon. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChinmcy A
OAs Approved
OAs Per Plan
ClChimn~Y B,
ElExisting
OVariable
· ODir~-t Vent
ONot Applicable
ClOther Value
ClOther
DESCRIPTION OF ALL WORK'BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~t5 oo
~L~crmcAL COm'P.n~Oa ~ Ea~a P_ t4~. 66
5~/For applicablc projects, an Electric Installation Verification form, signed by the Ele~cal Contractor, must be
/ a~ched. If not attached or not applicable, a separate Electrical P~afit is required. ' .
Elec*ric ~ns~o, lhtion Verification
I h~by v~ thif work ~ be perfo~ned b~ ~n emplo~oe ~bis company and ~ verify
OP~t ~ ~ OfEr, w)