HomeMy WebLinkAbout0104907 HOSHKOSH
ON THE WATER
.lob Address 219 W 19TH AVE
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner KEITH D/MICHELE SCHUMACHER
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
104907
10/22/2003
Other
Vent J
Use/Nature SFR/Replace 80m btu furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$50.00
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.
City of O~,~h
P,O. Box 1130
Oshkosh, W'154903-1130
P~ (~0) ~5050
F~ (920) ~50~
HVAC PERMIT APPI
An t~o~on ~f~boM cat~i.,~.t ,OPMENT
· A~li~fi~(s) ~d f~s) ~ ~ ~u~t ~ Ci~ Hall, ~ 205 ~ ~ ~ ~ ~, ~ Box 1128,
Os~ ~ ~4~3-1128. ~g w~k ~out ~s) ~ ~t ~ f~ ~ do~l~ ~ $1 ~.~ pl~ ~e
n~l ~t f~, w~ch ~ is ~t~.
OR
If you are a contractor oarticioatin~ in the ~ermtt fee Jecount System and have adeouate funds, chec~ hqr~
if you want this orocessed throu~h your aeeou~t ~
JOBADDRESS ~1~ ~6J., ICl~h Av~
ow~ ¼~-~ ~c~ ~6~
Io No Io% '
CONTRACTOR
C~CK I~ ALI. APPLICABLE
USE CATEGORY
~Sin~ Family ODupl~x
MCM AIR, INC. 6122 COUNTy 'RD M, WINNECONNE, WI 54986
,, 582-4402 FAX 582-0136
r=IMultJ-Family
I-IR~tnl r'lComm~xcial I-IIndustrial
FUEL ~ OEIocUi¢ OSolid SYSTEM [lN~v ~la~
l-lOft 13Solar [lOthcr "
TYPE
E)~ForcedAir rnRadiant ElSteam C]A/C r=lvent I'lEl~tric
IS ~jH ~ M!NEY BEING LINED [INoJ~,Y, cs - LINER ST?~. ~ il
Note: All chin',nCyS s~ be s~ ~ tbe ~ s being vented.
CHIMNEy TYPE r'lChimney A [lChimac./B f=lDire~t Vent
HEAT LOSS [lAs Ap~nov~d [lExisting · [lNot Appli~mbl¢
BTU RATE [lAs P~r Plan [=lVariabl¢ f'lOth~r Vnlu~ .....
DESCRIPTION OF ALI, WORK BEING DONE 0__At~SP_ c~.N ~0
EIHot Wata' nsugpl. [lC. om Burner
& MANUFA~ ~ex~- c_oauc~
~Ot~= PVL-
VALUE (Including labor and aH materials including light fixtures) ~ ~OOO ~o
ELECq'RICAL CONTRACTOR %¢F_JLR ~- . ~50 oo
or applicable ~roj~c~. an El~c~c ImmHafio, V=i~m~ fom~. si--~d ~-. ~ ~"---~ -: ......
· ..,,u~ ~auacu or not applicable, a ~ ~oc~ca] P~mt m rcquircd.
~lectrlc In~t,e~tIon
~ ~ ,, lolzo/oD