HomeMy WebLinkAbout0105054-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 2760 MONTCLA[R PL
Contractor MCM AIR INC
Fuel [~ Gas
System [~ New
b~J Forced Air
[ J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner JOHN L WILLIHNGANZ
Category 500- Residential-Heating & Ventilating
[] Oil 1 L_J Electric j I.[ Solar
j [] ieplaca I
~J Radiant j L~ steam j LJ A/C I
[~ Hot Water 1 ~ Suppl. ~ ~on. Burner ~
Chimney Type ~.~ Chimney A (,2 Chimney B (.~ Direct Vent O Not Applicable I
Heat Loss [..) AS Approved ( ~ Existing ~1 Not Applicable I Value
BTU Rate ~.~ As Per Plan ~.~ Variable ~ Other I Value
Use/Nature 3FPJ Install 60m replacement fumaca. *EIV form from Seckar Electric. of Work
No 105054
Create Date 10/30/2003
Plan
[] Solid
E~. Other J
Vent J
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $50.00
Issued By: Date 10/30/2003
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforca easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contac~ the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number (920) 582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Wore may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshko~
Division oflnspection &mdc~
P.O. Box 1130
Oshkosh, ~ 54903-I 130
?hone (920) 236.50S0
Fax (920) 236-5084
normal permit fee, wldch ever is greater.
OR
If you are a contractor t~artlctvattn~ tn the 'Permit fee Account System and have adeau(t~ fittld$, check here
if you want this vrocessed through your aq~Ott~t ~
sosmDm ss NT CLDlP PL
CON~RACTOR MCM AIR, INC. 6122 COUNTY 'RD M,
WINNECONNE, WI 54986
582-4402 FAX 582-0136
USE CATEGORY
~Single Family F'lDuplex
[2Multi-Family f=lRental
I-Ihdu. rhl
FUEL ~as OElee~ic [2Solid SYSTEM [~lcw ~/~cplaca
il I-ISolar riOt. ha. "
ooE
rced Air ORadiant EISteam E]A/C ElVent OEleetric
IS C' r ~INEY BEING LINED [~No ~(Yes - LINER SI~
Note: All Chimneys shall be sized per the BTU's behlg vell~l.
CHIMNEY TYPE
H~;AT LOSS
BTU RATE
CIHot Water I-ISuppl. rlCon. Burner
E1C1,_~.'nney A
I-lAs Approved
OAs Per Plan
OChimncy B
[2Varisbl~
EIDir~t V~nt
I-INot Applicable
ElOth~r Valu:
DESCRIFYION OF Al,l, WORK BEING DONE
vPo 0
VALUE (Including labor and all materials including light flxtllr~) ~ '90000 ~ a,
ELECFR~ CAL CONTRACTOR ~C/L 0 ~-~ . '
~.For applicable projects, an Electric Installation Vcgficagon fern, si~ncd by thc Electrlckl Contrac~r, must be
attached. If not attached or not applicable, a separate Eleelrical P~..it is requirccL
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Electric
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