HomeMy WebLinkAbout0104724-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1657 GEORGIA ST
Contractor MCM AIR INC
Fuel [~J Gas ~
System ~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner JAY F HAUTALA
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
104724
10/10/2003
Other J
Vent J
Use/Nature SFR/Install 60m btu furnace and 18m btu A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$4,900.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$78.50
Date 10/10/2003
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.
City of Oshko~
'.o.D/v/si°P of Impection ,ervicesPhoneOshkosh, Bo. ("0) WI ! '30236-50'0
Fax (920) 236-$08~
~ OCT~o 9 2003
HVAC PERMIT APPLIC~,,.T,.10N~'
~co~lem applicafiom ~U n~~L',
· A~licafion(s) ~d f~(s) ~ be ~ou~t m Ci~ Hall, R~m 205 or
PO Box 1128,
Oshkosh WI 54903-1128; Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal !~.-it fee, which ever is greater.
OR
If you are a contrq¢~or parttcipatin~ in t~e ~ermit fee ,4ccount System and have adeauate funds, check her
if you want this processed through your account
CONTI~k4,CTOR MC~ ATR, TNC. 6].22 COUNTY RD I~I~ I~Tb~ECONNE~ ~'r 5498/5
, 582-4402 FAX 582-013~
CHF~CK ~ AT,T, APPLICABLE
USE CATEGORY
5Lqingle Family nDuplex nMulti-Family
["]R~.ntal ["[Corem ~ial r'lllldl.~trial
FUEL Ii'Gas DEl~tric I-1Solid SYSTEM ElNew ~P, eplace
E1Oil rlSolar ElOther "' '
TYPE
[~orced Air ~Radiant rlSteam [/~A/C I~lVent CIElectfic
IS CHEVINEY BEING LINED [~No [SI'Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
r'lHot Water 1'lSuppl. ElCon. Bura~r
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChirancy A
OAs Approved
[lAs Per Plan
EIChimn~ B
ltLVariable
EIDirect Vent
E]Not Applicable
~Other Valu~
DESCRIPTION OF ALL V)~ORK BEING DONE ~]~ ~Ctl ( C~(~ P? ~ Y ~ i~V~ V ~,~__.(~ ~'~
VALUE (Including labor and all mate.als includin: light fixtures) ~ ~/~ '? O 0
,,~For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached Or not applicable, a separate Electrical Pemfit is required.
Electric ~stallatlon Yerlflcaflon