HomeMy WebLinkAbout0104096 HOSHKOSH
ON THE WATER
.lob Address 1922 OAK ST
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner ROBERT A DOEMEL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
L~ Solid
104096
09/10/2003
Other J
Vent J
Use/Nature SFR/Install 60m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$50.00
Date 09/10/2003
In the performance of this work, I agree to perform 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.
Division of Inspection
P.O. Box 1130
Oshkosh, Vel 54903-1130
Phone (920) 236-5050
Fax (9 o) 6-sos ., 1 200
WATER
All hxformation at~ bold ~t~Sofi~ ~~NT O~
· Application(s) and fee(s) mm be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 125.. Commencing work without permit(s) will re~uk in fees being doubled or $100.00 plus the
normal permit f~, which ~wr is greater:
OR
If YOU are a contractor oarttcloatin~ in the Permit tee Account System and have adeauate funds, check
if you want this processed through your account
CHI~CK [] ALL APPLICABLE
USE CATEGORY
[~lSingl¢ Family ElDuplcx E]MuRi-Family
[-IR~.ltal r'lComm~'xfial r'lIndustrial
FUEL IS]Gas mElectric E]Solid SYSTEM EINew lilRep~
~Oil [~Solar F1Othcr
TYPE
~l~Foreed Air nRadiant [3Stem r'lAJc nVent nElectric
IS CHI]VIN~Y BEING LINED [:]No I~lYes o LINF_~ SL2~ ~
Note: All elfixrmey$ shall be sized lX~ the BTU's being v~ted.
r'lHot Wator rlSuppl. I-ICon. Burner
CI~rMNEY TYPE OChimney A ElC'hinmey B nDirect Vent
HEAT LOSS OAs Approvcd ]~.~xisting ' ONot Applicable
BTU RATE 13As Per Plan I~Variable ElOther Value
VALUE (Including labor and an mteri~l, including light
ELECTRICAL CONTRACTOR .Q~
~For applicable projects, an Electric Installation Verification form, si~ned by thc Elec~cal Contractor, must be
attached. If not attached or not applicable, a separate Electrical P~mit is required.
9/02
Elec~c T-sti~tton