HomeMy WebLinkAbout0133333-HVAC (furnace)/~'~ CITY OF OSHKOSH No 133333
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 453 W 17TH AVE Owner BRIAN S KONKEL Create Date 10/07/2008
Contractor MCM AIR INC Category 500 -Residential-Heating & Ventilati~ Plan -
Fuel / Gas Oil Electric Solar Solid ~
System ^ New ~ ^/ Replace ~ ^ Other ~
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 80,000
UselNature FR /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC `*check #20439
of Work
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $55.00
Date 10/07/2008
^ Permit Voided
Parcel Id # 1404260000
In the performance of this work, I agree to pertorm 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.
(atyofOsWcosb
I~IVt=iOPO OtInSpCChOA SCMCCS
P.O. Box 1130
Oshkrsh, WI 54903-1 1 30
Pbooe(920)236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All iafortaatioa attes bold categoric taut be provided.
Incomplete applicatioas Mrill cot be processed.
\~,
• Application(s) and fee(s) can be brought to City Hall, Room 205 or ttuilod to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will t+csult in fees being doubled or 5100.00 ptti
normal permit fcc, which ever is greater.
OR
DATE_ 1 ~ - to - O8
JOB ADDRESS. SCOT KO'NI~EL--
OWNER ~5~ W ~~+-~' AyE
CONTRACTOR lei AIR, INC. 6122 COLIIII'Y ROAD H, FIINNEOONNE, WI 54986
-4402 FAX 582-0136
CHECK ®ALL APPLICABLE
USE CATEGORY
~Singlc Family ODuplcx OMulti-Family C7Rental OCommcrcial OIndustrial
FUEL l~,,as DElectric OSolid SYSTEM ONew `~Rcplacc
OOiI OSolar ~ OO~a
TYPE ,
~orccd Air ORadiant OStcam DA/C OVent C~Electric OHot Water OSuppl.OCon. Burner
IS CH.INII~IEY BEING LINED ONo ~Ya - LINER SIZE ~J li & MANUFAC'TtJRER ~LE K i - L. I N l:fL
Note: All chimneys sbsll be sized pa•the 8 's being vested.
CHII~~IEY TYPE OChimne A p pV G
Y Chimney B ~ircct Vatt DOther
HEAT LOSS OAs Approved (]Existing pNot Applicable
BTV RATE OAs Pa Plan OVariable OOthcr Value
DESCRIPTION OF ALL WORK BEING DONErJS ~ ~-~ O 80 8 ~ ,C~Op
VALUE (Including labor and all -nateriab lodudla~ U~ht tlztura) S 7j0[jQ ~ c
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