HomeMy WebLinkAbout0105363-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2490 KINGSTON PL
Contractor MCM AIR INC
Fuel ~ Gas ~
System ~ New
~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner JAMES A/KATHY J BAULDRY
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
105363
11/17/2003
Other J
Vent J
Use/Nature SFR/Replace 60m 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 11/17/2003
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:blwsh
Division of Iaspocdon Services
P.O. Boat 1130
Oshlwsh, WI 54903-1130
Phone (920) 236-Soso ~' NOV ~ (; . ,
Fax (920)236.5084 f,
DEPARTMENT OF
HVAC PERMIT APP ~ w ICY DEVELOPMENT
All information alter bold caoa8ories m~ut be pz+ovlded.
Iacomplata applicatiion: wiD not ba p:oceased.
• Application(s) and fee(s) can be brought to City Hall, Room 20S or mailed to InspoOtian Services, PO Box 1128,
Oshkosh WI 54903.1128. Corrunencing work without permit(s) will result in foes bang doubled or 5100.00 plea the
normal permit fee, which ever is greater.
OR '
DATE II- i~~C>~7 ~
JOB ADDRESS ~ ~ `~ O ~ 1 IV L ~ i D I\I P L
OWNER ~ 1(`^ ~ ~ U L (7 2--y.
CONTRACTOR MCM AIR, INC. 6122 COUNTY RD M, WINNECONNE, WI 549x6
5132-4402 FAX St32-0136
CHECK Q! ALL APPLICABLE
USE CATEGORY
Single Family pDuplex OMulti-Family OReatal pCommoreial OIndustrial
FUEL I~iBS OElectric pSolid SYSTEM phew ~teplace
OOiI pSolar , pother ,
.
E
orced Air ORadiant OSteam pA/C pVent OElectric pliot Water pS 1. pCon. Burner
uPP
IS CHDKNEY BEING LINED pNo Yes -LINER SIZE & MANUFA ~T ~ ~-~ ~--~_ `/
Note: All chimneys shall be sized per the B 's bein8 ventod.
CHIMNEY TYPE OChimney A pChimney B pDirect Vent pother
HEAT LOSS DAs Approved pExiatutg pNot Appliesble
BTU RATE DAs Per Plan OVariable OOther Value
DESCRIPTION OF ALL WORK BEING DONE (0O.0~0 ~T U `'F UP N ~1 L~
o c~
VALUE (Inctudin8 labor and all materials lncludln~ li8ht ltsturas) S 3dQd
ELECTRICAL CONTRACTOR `~ ~C,IG~ rZ
,For applicable projects, an Electric Installation VeriScation focm, sigttod by the Electrical Contractor, must be
~~ alt ached. If not attached or not applicable, a atparate Electrical permit is required.
9/02