HomeMy WebLinkAbout0101799-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 884 HARMEL AVE
Contractor MCM AIR INC
Fuel ~ Gas I [~ Oil I L~ Electric
System [] New I [] Replace
~_J Forced Air I L-~ Radiant I [___j Steam
[~ Electric I [~-~ot Water I [] Suppl.
ChimneyType' ~ ChimneyA
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner GERALD A STUEBER
Category 500 - Residential-Heating & Ventilating
Chimney B ~.~ Direct Vent
Solar
~J NC
U Con. Burner
Not Applicable I
Heat Loss ~ As Approved ~1~ Existing ~.~ Not Applicable
BTU Rate ~ As Per Plan ~ Variable ~.~ Other
Value
Value
No
Create Date
Plan
[] Solid
[] Other
101799
05/28/2003
Vent
Use/Nature ~FR/Install 60m btu fumace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,900.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
$48.50
Date 05/28/2003
(920) 582-4402
City of Oshkosh
D~k~ ofh~io~ ~
P.O. Box 1130
Oshkosh, WI ~4903-1130
Pho= (~20) Z~6-S0~0
Fax
(920) 236-5084
All infonmtion ~ bOld cat~sorie~ mm~if~~NT OF
h~omp~c~,ppUc~io-, wa ~~ DEVELOPMENT
· Application(s) and fee(s) can be brought to City Hall, Room 20S or mailed to Inspection Sa~i~ PO Box 1128,
Oshkosh W1 54903-1128. Commencing work without permit(s) will result in fec~ bcing doubled or $100:00 plus the
normal permit f~c, which ever is greater.
OR
If you are a contractor varttctoattn~ in the'~ermi[ fee/Iccount Swtem and have ade~ate funds, check here
tf vou want thtt ~rocessed through your aceolt~t
CONTRACTOR MCM AIR, INC 6122 COUNTy RD' M
582-4402 FAX
WINNECONNE,
582-0136
WI 54986
C[~-CK [] ALI. APPLICABLE
USE CATEGORY
5~. in,lo Family nDuplcx
I-1Multi-Family
OR~tal
FUEL ~ ElEl~:tric OSolid SYSTEM
ElOil ElSolar
II~Forced Air . ~Radiant EISteam El,adC 'E]V~t OElectric
IS C"HIMlVEY BEING LINED ElNo ]liS-Yes - LINER SI~ '~ ~
Not~: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
I~-AT LOSS
BTU RATE
ElChinmey A
El.as Approved
El.as Per Plan
ElChin'mey B
tl~-Variable
DESCRIYrION OF AI.I, WORK BEING DONE
.OIndustrial
ElHot Water ElSuppl. O Con. Bm-ner
. O~.reot writ ~h= ~ ¥ 0~
ElNot Applicablc
VALUE (lncludln~ hbor and aH nmterimls ,-¢ludi-~ light ~) $ ~, 9 0 0
ELECTRICAL CONTRACTOR ~ a ~ k C~ io
Ii'For applicable projects,' an Electric Installation Verification form, signed by thc El~rical'Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
n/o2
Electric Instsdhtion Verification
(Nme ofp&'~ oo~ ~o)
' (A. cltr0n wh~ ~k ~ b p 'erim~t) ....
· th v.i~. ~e.~ w~ t~ s_'7 g.O.° .
I h~oby v~f~ ~ wo~c wi]] be p~onned by ~n ee~plo~oe of rbis c~npan~, and ~ verif~
tho rec~-~o~ / tnstelh~on will be done in complimce wi~ nanufzcuu~ end P. lectric co~e