HomeMy WebLinkAbout0104479-HVACOSHKOSH
ON THE WATER
.lob Address 1834 MICHIGAN ST
Contractor MCM AIR INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner ADAM R GEURTS
Category 502- Residential-Both
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 ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104479
08/29/2003
Other J
Vent J
Use/Nature NSFR/ Install 40m btu furnace, 2T 24m btu A/C & ductwork.
of Work
Fees: Valuation
Issued By:
$5,400.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$86.00
Date 09/30/2003
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.
City of O*hk~h
Division of Impect~on Seawices
P.O. ~x 1130
O~os~ ~ ~4903-1130
P~ (920) 2~0~0
F~ (920)
HVAC PERMIT PL ATION '
· A~li~s) ~d f~(s) ~ ~ ~u~t m CiW Hall, R~m 20~ ~ ~ m ~ ~. PO Box 112S,
Os~o~ ~ ~4903-1128. Co~m~g work ~out ~s) ~1 m~t ~ ~ ~g do~l~ ~ $1~.~ pl~ ~:
no~ ~t f~, w~ch ~ is
OR
If you are a contractor varticivatine in the ~ermit fee Account System and have adeauate funds, check herq
if you want this vrocessed through your account ~
CONTKACTOR
CHECK [] ALL APPLICABLE
6122Coun~Rd M
Win~econne, W154986
USE CATEGORY
~Single Family tllDuplex 12Multi-Family C2Rental CICommercial I-IIndu~-ial
FUEL /[~as ClElectric ClSolid SYSTF~ ~/~Otl~ 1:~91ac~
ElOil 12Solar '
~orced Air C3Radiant I-IStearn [3Vent 12Elec~ic
IS CHIMNEY BEING ~D ~o I-Iyes - LINER. SIZE
Note: All chimneys shall be sized per the BTU's being vented.
C]Hot Wa~r r'lSu~pl.
& MA.NUFA~
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChinmey. A
I-lAs Approved
I-lAs Per Plan
ElOhimncy B
[2Existing
cIVariable
ClDirect Vent
r'lNot Applicable
mother Valu~
P'¢C
EICon. Burner
DESCRIPTION OF ,iI.I. WORK BEING DONE L O OOO
VALUE (l.dudiag labor and ,. materials ia¢iuding light fixtures) $'~ ~' ~ 0 0 o ~
ELECTRICAL CONTRACTOR ~-~ 9 1 CD g~'~
B For applicable projects, an Electric Installation Verification form, signed by the Elec~cal Conitactor. must be
attached. If not aRacbed or not applicable, a r~ara~ Electrical P~it is r~luir~d.
9/02