HomeMy WebLinkAbout0104908-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1012 DOVE ST
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES J TROUDT
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 ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104908
10/22/2003
Other
Vent J
Use/Nature SFR/Replace 80m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,100.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$51.50
Date 10/22/2003
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.
P.O. Box 1130
~ WI 54903-1130
Pho~ (920) 236-5050
F~x (920) 236-5084
nC.T?
120O3
HVAC PEPJ~IIT APPLICATION-
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Iuspeotion ~, ~ ~x 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win re..sult in fee~ being doubled or $100.00 plus the
nonml p~,,,it f~, wkich cv~r is ~r~tor,
OR
l£vou are a contractor varti¢ivattn~ tn t~e ~ermtt £ee ~¢¢ount Swfem and ~ave adequate £unds. ¢heq~ ~r~
ff vou wane ~ht~ vroce$sed fhrou~h your ~¢~
JOB ADDRESS \O \
CONI'RACTOR MCM AIR, INC. 6122 COUNTY RD M, WINNECONNE, WI 54986
· 582-4402 FAX 582-0136
(,:H k:CK [] ALL APPLICABLE
SE CATEGORY
ingle Family nDuplcx r'lMulti-Family I-IRcn~ I"1 Comm~.~ial r'llndustfial
FUEL ~ nElcctdc nSolid ' SYSTEM I~cw ~'placc
~lOil ElSolar ~lOther
TYPE
nForced Air F1Radiant nstcam F'IA/C inVent FIElectfic
IS CHIMI~EY BEING ~D EINo ~.Y~s - LINEP, Srz~-.
No~: All chimneys shali b~ sizcd per ~ BTU's bcin~ v~llt~d.
OHot Water ~Suppl. EICon. Burner
DESCRIPTION OF ALI. WORK BEING DONE 0_-;%9--124 C ~ ~N~gP ~D,CC~ ~TI_S
VALUE (Including labor and aH materials including light fixture) ~ ~ ] 0 00 o
ELECTRICAL CONTRACTOR 5¢ClL~12- ~ ~ 1' 50
~For applicable projects, an Electric Installation Vmificati .on form, signed by thc Elcctrlcal Contractor, must bc
attached. If not attached or not applicable, a scparatc Electrical P~,,~t is required.
9/02