HomeMy WebLinkAbout084346 - HVAC (Furnace) 1r�
CITY OF OSHKOSH No 84346
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2004 MT VERNON ST Owner ROBERT D/KIM M MAKI Create Date 02/20/2001
Contractor MCM AIR INC Category 502-Residential-Both Plan
Fuel ✓ Gas I Oil -Electric I Solar 1 j- Solid J
System New ✓i Replace I Other
✓'I Forced Air 1 Radiant I Steam ✓ A/C I went
Electric I ✓: Hot Water I Suppl. Con. Burner
Chimney Type ' ` Chimney A 1 Chimney B 1 Direct Vent , Not Applicable
Heat Loss I' As Approved 0 Existing Not Applicable Value
BTU Rate `, As Per Plan lik Variable ) Other Value
Use/Nature SFR/REPLACE 60,000 BTU FURNACE AND 18,000 BTU A/C _.
of Work
Fees: Valuation $3,600.00 Plan Approval $0.00 Permit Fee Paid $59.00
Issued By: YI Date 02/20/2001
f—PermitVoided
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
EDDivision of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
N w WA
Fax k (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.)
/� M DATE 2l i 5J I
JOB ADDRESS c2 0 Q 4 1 V M`-- , \' i IA 0 \
`
OWNER
d \b M a C
1- . 1 1
CONTRACTOR 11 C NA A N` , I V1 Q ,
CIRCLE ALL APPLICABLE
USE CATEGORY (NGLE FAMILY DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE (ORCED Ai) RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
l }
IS CHIMNEY BEING LINED Y� LINER SIZE c_ MANUFACTURER -\3y 1 II! EV
Note: All chimneys shall be sized per the BTU's being vented. 1-- J
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN . VARIABLE OTHER VALUE
NATURE OF WORK: i V` .ITC)1, 4 1 acx\i`y, t Y\ 5 d M X Pt 0 6 v 6 C)� coo g 0
.- - wf^ y\ace. 'fir i �� R 0 r � i ?1 oo, erLf A J q
VALUE (Including labor and materials) $ 36 co p
ELECTRICAL CONTRACTOR Le. C K.Q v tz l e e ,
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
20 00
$1, 000. 01 to $10, 000 .0 0.._._._._.»._._._._...._._....
—• ..$20 . 00 for first
$1, 000 . 00 plus �$1 .•50•per $100 .00 valuation or part thereof
$10, 000 .01 to $2 5, 0 0 0 .0 0.._._._._._._._._._._._._._._._._._._._._._._._._._._._.»._._._._._._._..$15 5 . 0 0 for first
$10, 000 .00 plus $1.00 per $100 . 00 valuation or part thereof
Over $2 5, 0 0 0 .0 0.._.-._._._.__._. ._._._._ _..$305 . 00 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 $100.00 plus the normal permit fee, which ever is
greater.
FROM : SECKAR ELECTRIC FAX NO. : 9202313950 Feb. 27 2001 10:00AM P1
i •
i
City of Oshkosh /J 3 Lk 7),S Osu of I venue Semmes
27S c ,t1 Avenue a• f//
PO Soa 7130
(� Oshkosh WI 54902.1130 A,`-ti H Office 920-2365050 ••}
Oa rat[WATEN. Pas'920.236 5084
Electric installation Verification
Seckar Electric Company.Inc.
(I)(We)
c d°n nnccr Name)
5920 Courtney Plummer Road,-v1 lnonne, Wisconsin 54986
(Address) (City) (State) (Zip Code)
have been contracted to perform electric-installation work for
AIR,INC.
(Name of party contracted to)
at the following address: 2004 MOUNT'VERNON STREET
(Address where-work will=be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
X".
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection.or new circuit for.replacement Electric Water Heater_.
Reconnection of the Service Entrance Cable, Meter pox,alterations to receptacles and
lighting fixtures due to-siding_/.soffit.installation: Note: New Service Entrance.
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances/ fixtures,.
Other
The value of this work is$ 0 0'3- .
I hereby verify this work wilt 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.
Diane R. Becker February 22, 2001
(Signature o Company Officer) (Print Name of Officer) (Date)