HomeMy WebLinkAbout0081002-HVAC (furnace) 0 CITY OF OSHKOSH No 0081002
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 302 W NEW YORK AVE Owner EUNICE R FOSTER Create Date 09/12/2000
Contractor MCM HEATING Category 500 Residential- Heating Ventilating Plan
Fuel 11 Gas I Oil I I Electric 1 11 Solar I 1 Solid I
System New I Replace Lj Other I
IJ Forced Air J Radiant Steam U NC I J Vent
I 1 Electric I I Hot Water 1 1 Suppl. 1 1 Con. Burner I
Chimney Type Chimney A 0 Chimney B Direct Vent 0 Not Applicable I
Heat Loss 0 As Approved 0 Existing 0 Not Applicable I Value
BTU Rate K As Per Plan 0 Variable 0 Other I Value 80,000
Use /Nature SFR REPLACE FURNACE
of Work
Fees: Valuation $2,785.00 Plan Approval $0.00 Permit Fee Paid $47.00
Issued By: S Date 09/12/2000
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number (920) 582 -4402
Y 4 7
411). Division of Inspection Services
215 Church Avenue
P.O. Box 1130
caap Oshkosh, WI 54903-1130
Fax (920) 236 -5084
Phone (920) 236 -5048
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed. l
DATE c.1 "CYO
JOB ADDRESS 30.2 New V 1‹.
OWNER Wayne kt,d csi1
CONTRACTOR MCM AIR INC.
b1 uounry Rd M
CIRCLE ALL APPLICABLE Winnscanne, WI 54986
USE CATEGORY i NGLE FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
OGED
SYSTEM NEW OTHER
TYPE FORCED A RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED (iXISTIl NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE of WORK: I h S�' ca. 11 e a r r i e.r 5 M V P O& C6 �'Q, p� a 1
UN' v\acQ p
VALUE (Including labor s and materials) 2 g. a g.
ELECTRICAL CONTRACTOR S� e ck e r 4 t 2 Ct P 1 0,
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$1,000.01 to $10, 0 0 0. 0 0.. 2 0. 0 0 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25, 0 0 0 0 __,_.____________$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over 2 5, 0 0 0 .0 0 3 0 5 .0 0 plus $0.50
`per $100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
FROM SECKAR ELECTRIC FAX NO. 9202313950 Sep. 20 2000 12:20PM P1
g 1
City of Oshkosh
Division of Inspection Services
21S Chas%Avow
PO Box 1130
Oshkosh WI 5 -1130 A�. 1.
CI f1(C) ow. 920.236SO5G
T yr rU Fax 920.236.5064 r 4
Electric Installation Verification
(I) (We) Seckar Electric Company Inc.
(Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, Wisconsin 54986
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for MCM AIR
(Name of party contracted to)
at the following address: 302 WEST NEW YORK AVENUE
(Address where -work will be•performed)
The nature of the work consists of.: (C t eck .One or Describe -the Nature of Work)
Reconnection or- new-circuit- for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting_fixturesdue to_ siding soffitinstallation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other .peananeatl-y wired .appliances fixtures.
Other
The value of this work is S /ZS p'
I hereby verify this work will be performed by a n.emplo_yce of-this-company.and further verify the
reconnection installation will be done in compliance with manufacturer and Electric code
requirements.
0? a S S c L Diane R. Seeker Sept. 20, 2000
(Signature o ompany Officer) (Prim Na uc of Officer) (Date)