HomeMy WebLinkAbout0100416-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 1418 BOWEN ST
Contractor MCM AIR INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner RICHARD O SCHNEIDER/K PAULSON
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan O Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100416
03/26/2003
Other J
Vent J
Use/Nature SFR/Install a 60m btu furnace and a 24m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$80.00
Date 03/26/2003
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
P.O. Box 1130
Oshkosh, WI M903-1130
?~ (920) 236.50~0
Fax (920) 236-5084
HVAG
· Application(s) and fee(s) can be iwought to City Hall, to lnspcctim Services, PO Box 1128,
Oshkosh W7 54903-1128, Commencing work WMJout pcrn~ .~s) win result in fees being doubled or S100.00 plus ~be
normal permit fee, which ever is greater. ·
OR
If you are a contractor vartictvatin~ in rhe'~'ermii'fee Account System and Aave'~de~are funds, check t~er¢
if you want thfs_vrocessed r&rou~h your account N -
CON'I~CTOR MCM AIR, INC
C~F. CK [] AI.I. APPLICAB~.~
USE CATEGORY
~Sinsle Family ODuplex
6122 CQUNT¥ RD' M
582-4402 FAX
OMulti-Family ClRental
~ I~lGas GElectric GSolid b~STEM
I-!0il GSolar
TYPE
/3Forced Air .. ORadiant GSteam GAlC Gvent CH/lectric
Note: All chimneys shall be sized per ~he BTU's bein~ vented.
cm%~NEY TY~E r~Cmmn~ A OChinmey B
~&T LOSS ' OAs Approved
BTU RATE OAs Per Plan K~Variable
WINNECONNE, WI 54986
582-0136
ClHotWater OSuppl. OCou. Burner
· ODirect Vcnt
ONot Applicable
GOther Value
VALUE Oncludlnglabor and all materiab includlngilghtfl~mru) $ 5'(~ 0 0~
J~For applicable projects,' an Electric Installation Verification form, signed bytbe Elc~cal Con~, must be
attached. If not attached or not applicable, a separate Elcctrical Perm/t is required.
Odlbedlllll
Electric lnstalhtion Verification
(City)
biyo bom contr~ to perform elootrl~ inmll~o~ wo~ for
Th nm~o dtl~ workcousim of'. ( .CneckOne or])escn~ thoNmre of~ork)
,~ boonnootton or new oirc~ for ruphcem~ Hmtu8 Plant and/or A/C Condeuser.
· P,~x~m:~on or new olrcult, for roplmemeu~ ~lK~tio Wstor ~*leater or power ventod
(l'~t Naris of Oafc~r) 0:)~)