HomeMy WebLinkAbout0142146-HVAC (a/c) C .) CITY OF OSHKOSH No 142146
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2471 MINERVA ST Owner SHAWN L STEARNS Create Date 07/21/2010
Contractor MCM AIR INC Category 501 - Residential -Air Conditioning Plan
Fuel 1.1 Gas H Oil LJ Electric U Solar LJ Solid
System EJ New Q Replace [] Other
u Forced Air LJ Radiant J Steam 1. NC J Vent
Electric U Hot Water U Suppl. LJ Con. Burner
Chimney Type ) Chimney A 0 Chimney B Q Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 24,000
Use /Nature SFR / REPLACE 2 TON NC, EIV SIGNED BY SECKAR ELECTRIC * *check #21913
of Work
Fees: Valuation $1,925.00 Plan Approval $0.00 Permit Fee Paid $40.00
Issued By: arn S Date 07/21/2010
El Permit Voided I Parcel Id # 1229370000
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.
L •
! Division of Inspection Services
•
. Box 1130
#11
Osbkosb, WI 54903 -1130
Pb.. o (920) 236 -5050
Tea ( 236 -3054
R HVAC PERMIT APPLICATION
All information alter bold categories must be
Incomplete
type-ado= will notes procssse
JUL 21 2010
• Application(:) and fcc(s) can be brow " DEF �s.RI �vIENT OF
Oshkosh WI 5 and fcc(s) Commencing to City Hall, Room 205 or mailed to Iaspectionc� ration El 1 T
normal permit fee, which ever is = weak without pesalia =)'will result in fees b�1he�HR' ft� o►v
OR
I f you ere a contractor eart[ctnattttt to the Per�I Aelouxt Svitetn and have odravate fund! check
!Lvov vewt thf• �►e
_______,...„.„„,,, Adjac4graguanturassajaLca
DATE I - 1- 10
JOB ADDRESS `'I e rJQ O (,J Sc4g0 t
OWNER S Wn Sh c-C1
CONTRACTOR poi AIR, INC. 6122 COUNTY ROAD H, WINNECONNE, WI 54986
302 -4402 FAX 582 -0136
CHECK ® ALL APPLICABLE
•
Ug.CATEGORY
L Ingle Family °Duplex °Multi- Family QRentsl °Commercial pindustr;
•
• • FUEL less °Electric °Solid SYSTEM °New replace
DOil °Solar DOthcr
TYPE �
°Forced Air ORsdiant OStam FJA/C Meat QElectric °Hot Water OSupp1.00on. Buena
IS CHIMNEY BEING LINED ONo OYcs - UN . SIZE & MANUFACTURE
Now All chimneys shall be sized perdu B'TU's Wag vented.
CSINIIN'EY TYPE °Chimney A 0Chinsney B pmt Vent DOthcr
SEAT LOSS DAs Approved
B'I'() RATE OA: Pct Plan k [Not Applicable
OOthar Value
D • • ON OF ALL WORK REIN DONE .L (1{ - ��� & a _T(�
VALUE (Including labor and all watsrlals'lndudlagtight fixtures) i L
. ELECTRICAL CONTRACT°
Q$
adarteal liasiaaam of brarbsoldhomau thquipawki A•11 be dose by below
n Llectrie installation Verification tore attack e:1st Rept,caa
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6 cur oc
215 C th • Sa.t
17 Cherci Memo
70 BOX 1130
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alkali WI 54903-1130
wawa F c 93:0 -s o
Electric Installation Verification
I (We) &-A - �- I L
(Electrical Contractor Name or Homeowner's Name)
S &ZO Coo rt-u ik 12 i s D. Gil ft.Wecoivid- C4- Sygg(„,
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
QL-i `1 I M c\ex--) a Q 1rN, ( /,> SLk,c1 O
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
...! 1.. Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ t c 0 — .
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
I ,
7( 1) OA* e. se A,z 1 I q -
I(
(Signature of C • wan:, Oft= or Homeowner) (Print Name) (Date)
ISM A PM.