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HomeMy WebLinkAbout2010-HVAC (furnace) • CITY OF OSHKOSH No 143261 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 928 REICHOW ST Owner STEVEN N /LINDA J EVERDING Create Date 09/22/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel L✓j Gas Li Oil L Electric L Solar Li Solid System [] New 0 Replace ❑ Other u Forced Air Radiant u Steam _I A/C u Vent U Electric I Hot Water L Suppl. Li Con. Burner Chimney Type u Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss Q As Approved • Existing Q Not Applicable Value BTU Rate r As Per Plan Variable Other Value Use /Nature SFR / Replace furnace. EIV signed by Seckar Electric of Work • Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By: a/h.C. / Date 09/22/2010 ❑ Permit Voided Parcel Id # 1309720000 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. 54 -5 • Oshkosh. fort 1130 4?) Osltilcoslk WI 54903 - 1130 T1eas (920) 236 -50S0 Tax (920) 236 -S0u M v W HVAC PERMIT APPLICATION AU tntocmatioa %Ras bold cazsgrasiss =au es provided. incomplsts applications {U not to processed. • Application(s) and fcc(s) can be brought to City Hill, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing woic without permits) will fault in fns being doubled or 5100.00 pltr normal permit fee, which ever is grew. • OR d ery went Mir arose :zed throe :h your ace:mart DATE f -, 1- 10 JOB ADDRESS c ?,cC s e t C Y1© e2 - OWNER c7'teve- Eve rcii-n3 CONTRACTOR Mat AIR, INC. 6122 COt]NT'Y ROAD H, WINNEC'ONNE, WI 54986 152 -4402 FAX 582 -0136 CIEECK ® ALL APPLICABLE USE CATEGORY %Single Family ODuplex OMulti- Family [Mental 0 Commcrcia1 Dlndusaizl • . FUEL iGas OElcctric OSolid SYSTEM ONcwRcplacc OOil OSolar DOtha TYPE Forced Air O ,k Radiant OStcam OA/C °Vent gElectriic Mot Water OSuppl.00on. Bum= IS CHIMNEY BEING LINED ti4No OYa - I NER SIZE & MANUFACTURER Notc: All chimneys shall be sized pet.ths BTUs being vented. CHIMNEY TYPE OChitrney A DChiamey B j Direct Vent OOthcr BZAT LOSS DAs Approved DNot Applicable BTU RATE OA: Per Plan VVariable OOthar Value DESCRIPTION OF ALL W RIC BEING DONE 1 h �� o. S ( C @r r 1 e V' 5 g' U V (3 B S'a' � '4, COO Bfl) 'cAr?1C�e VALUE (Including labor aad all matsriaL•lncluding light fixtures) � 31 ®B ELECTRICAL CONTRACTOR '-eQ . r - Lirctrk lastallatioa VvMc:ado. terra attaclad(tt Rss.oz 4uullall�r j.� v V,.. slat! 1kr s..r by lama, CSry Of Oslmlk t e, 313 G'lmari ANms TOBmc I l30 If Ortmkeim WI 349011130 .7 .i :l►1. FIR inace 920 o Electric Installation Verification 1 (We) Se-C. kA- c-..1 L (Electrical Contractor Name or Homeowner's Name) 51z0 CO w - rz,UMM ,2 l'D. GJ eco*f (AL Sygg6 (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: Cats Re ?cliOtJ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) .. 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 $ I W.- j , 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 , r � ". fc.( pIf1 e. q. 4 '' 2i I (Sigoature of C. rnpam Of!kcr or Homeowner) (Print Name) (Ace) )