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Home My WebLink About0094998-HVAC (furnace) 0 CITY OF OSHKOSH No 94998 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1731 SKYVIEW AVE Owner JOHN J SCHEUER Create Date 06/10/2002 Contractor MCM AIR INC Category 500 - Residential - Heating & Ventilating Plan Fuel 11 Gas Oil I Electric J Solar Solid System ❑ New I 0 Replace ❑ Other j Forced Air u Radiant u Steam ❑ NC ❑ Vent Electric I Hot Water 1 Suppl. Con. Bumer Chimney Type K) Chimney A () Chimney B ❑ Direct Vent • Not Applicable Heat Loss Q As Approved () Existing • Not Applicable Value 0 BTU Rate J As Per Plan ( ) Variable • Other Value Use /Nature SFR/ Install 60m BTU furnace. *EIV form from Seckar Electric. of Work Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $47.00 Issued By: kyr Date 06/10/2002 ❑ 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 City of Oshkosh Division of Inspection Services P.O. Box WI 1130 5 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 H ON THE WA ER HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account fl `w I DATE (o / q l ©Z, JOB ADDRESS `� ' 1 5vAi V 1 t W OWNER \ 3 0 \1N .1c\ -1 E Uti CONTRACTOR MCM AIR INC. 6122 County Rd M Winneconne, WI 54986 CHECK ® ALL APPLICABLE USE CATEGORY Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial FUEL as ❑Electric ❑Solid SYSTEM ❑New Replace ❑Oil ❑Solar ❑Other TYPE XForced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric ❑Hot Water DSuppl. ❑Con. Burner IS CHIMNEY BEING LINED DNo Yes - LINER SIZE 3 i & MANUFACTURER Nit VT w Goo LE y Note: All chimneys shall be sized per•the BTU's being vented. • CHIMNEY TYPE ❑Chimney A ❑Chimney B ODirect Vent Opther P VC HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value DESCRIPTION OF ALL WORK BEING DONE 111/41 R - ,\) (00 60 t aco 13 i V FUR -N RLe _ VALUE (Including labor and all materials including light fixtures) $ 2900" ELECTRICAL CONTRACTOR Cj E(,J OR E lectric Installation Verification form attached(if Replacement) Elec 'ea l installation of new /replacement equipment shall be done by licensed contractors. 3/02 C4110) City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54902 -1130 Office 920-236-5050 oM TMs WATEII Fax 920 - 236-5084 Electric Installation Verification - (1) (We) SEckhg EtT /e �o . / /IJC.. (Electrical Contractor Name) SU° Co oie-w Pcvm-Eie eb. 4l) INAl ecoNNW' (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for /4(i/h /} (Name of party contracted to) at the following address: \ 13 j* S V 1 (IJ (Address where work will be performed) The nature of the work consists of : (Check One or Describe the Na of Work) Reconnectio or new circuit for replacemen Heatin lant d/or A/C Condenser. . t - on or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is$ /2. o0 I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. D IANJE e SECAAK. 9 Z (Signature f Company Officer) (Print Name of Officer) (Date)