HomeMy WebLinkAbout0104946-HVAC (furnace)OSHKOSH
ON THE WATER
JobAddress 715ENEWYORKAVE
Contractor MCM AIR INC
Fuel [~J Gas
System ~ New
~ Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner RAYMOND K/PATTI OBERSTADT
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
104946
10/24/2003
Other J
Vent J
Use/Nature SFR/Install 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 10/24/2003
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.
RECEIVED
0CT,2 4 2003
· Application(s) and f~(s) ~an b~ brought to City Hall, Room 205 or m~led ~ ~ ~, ~ ~x 1128'
Oshkosh WI 54903-1128. 'Commencing work without l~'mi~(s) ~ ~lt in ~ being doubled or $I00.00 plus thc
non'ml p~,k fe~, which ~wr is greater.
OR
[f YPU are a contractor oarttclvattn~ in the 'Permit fee dccount System and have adeauate funds, check here
if you want this vrocessed through your account ['~
WINNECONNE, WI 54986
582-4402 ' FAX 582-0136
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingl¢ FamiiYr. I-IDUPl~x' OMUl~'Family
FUEL ~Oas OElec~6 r'lSdlid '
il OSolar
TYPE
~orcedAir rtRadiant OSteam OMC Elv~nt ~Electric
IS cB~2vINEY BEING LINED rlNo OYes - L~'ER SIZ~ ~ i I
No,c: All chimneys shall b~ sized per ~ BTU's b~ing v~t~d.
CHIMNEY TYPE
KEAT LOSS
BTU RATE
OChirrmey A
OAs Approved
OAs P~r Plan
OChimn~y B
C~Existing '
OVariable
~I-Iot Water OSuppl. nCo~ Burner
ODire~t Veat
ONot Applicable
O~ V~lu~
DESCRIFFION OF A'.I, WORK BEING DONE
Oth= P"dC
6o,oco eye =oB AcE'
VALUE (Including labor and all materials including light fixtures) ~ 32~. ~ C~O o ~
ELECrmCAL CONr CrOR
.~(For applicaM¢ m'oj~, ~. El~ri: Immll~fion V~ifim~ti0n form, signed by ~ El~tfical Con~a~or, must
attached. If not attached or not applicable, a scpara~ Electrical Pea-mit is required.
Electric Insto,~tton yeti,fica.on