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Home My WebLink About0143273-HVAC (furnace) ED CITY OF OSHKOSH No 143273 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1280 HURON CT Owner DAVID K HOFFMAN Create Date 09/23/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel 0 Gas U Oil Q Electric 1 ❑ Solar D Solid System [] New { j Replace D Other 0 Forced Air D Radiant Li Steam A/ J C p Vent Electric [] Hot Water 0 Suppl. ] ❑ Con. Burner Chimney Type 0 Chimney A 0-Chimney B • Direct Vent Q Not Applicable Heat Loss 0 As Approved • Existing Q Not Applicable Value BTU Rate Q As Per Plan • Variable Other Value 60,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC * *check #22016 of Work Fees: Valuation $3,500.00 Plan Approval _ $0.0 Permit Fee Pa $62.50 Issued By: Date 09/23/2010 0 Permit Voided Parcel Id # 1525700000 In the performance of this work, I agree to perform all work pursuant to rules goveming 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. 2.. SO •. • �wrr w �WrbwN� JG� K.ce Osh UK l30 Oshko -b. WI 549034130 ?boos (920) 236 -S0S0 Tax (920) 236-5064 HVAC PERMIT APPLICATION An iefore stioe after bold categories samba provided. incomplete applications w{ll not be processed. • Application(:) and fees) can be brought to City Htill, Room 205 a tnzilod to Inrpcction Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will tault in ices being doubled or S100.00 pltz: normal permit fee, which ever is greater. • OR I f vev wsK, thl; eroceartd threvvlLvevr freewill • I �C3 ( (k� DATE z J - JOB AD DRESS 4 - 1 titre) O w C 1 OWNER Day e rAc i T Man CONTRACTOR 'O( AIR. INC. 6122 COUNTY ROAD H, WINNICOtatE, WI 54986 �t3 - 4402 FAX 582 -0136 CHECK ® ALL APPLICABLE • USE CATEGORY Single Family °Duplex °Multi- Family ]Rental [3Comm Olndustria.l • • . FUEL IA Gas °Electric °Solid SYSTEM °New 18`Rcplacc °Oil °Solar °Other TYPE . . OForccd Air °Radiant °Steam ❑A/C Meat QElectric DRot Water OSuppl.00on. Buena IS CBIMNEY BEING LINED1811.•Io OYa - SUM WNW ACTURER Now All chimneys shall be sized paths BTUs beittj vested. C UMNEY TYPE °Chimney A OChimmtry B lilDiroct Vent OOtha SEAT LOSS OAs Approved Valuing Not Applicable BTU RATE 0 A Pa Plan VILVariablc OOtha Value DESCRIPTION OF ALL WRRK BEING DONE In Bto ( 0-)Ot t e r 5 g M. v' e ® LO (4, Coo 13T D tuotn�ee. VALUE (Including labor and all materials' t ludla= tight tutu* 3 5 0 0 Re a . ELECTRICAL CONTRACTOR e 4-cec �,/' �Q Electric la.stallades Vcriticstiee term attaceedatRq+ acs L1adte�► lan ttesise ices plat . i ��l rs�+ J ►.!! b Ire y ate.., ® . 215 O � o[In �v�iass 2l1 Omni Aveme PQBax 1(30 f Otkel WI 519011130 "I KI : F rIi1 920 : O Electric Installation Verification 1 (We) S kA ��--i t L (Electrical Contractor Name or Homeowner's Name) 69a0 CO Pc-um /I-it D. (AilJ/J>cconit.lF (A), 54q &, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: I Z g i 0 ` Lr©n at (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) X_ 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 a 2 5 � . 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 1 installation will be done in compliance with manufacturer and Electric code requirements. • '. ft:.( 1)I}fiN ,C., -c 4- et 1 10 (Signature of C • rnpaoy Officer or Homeowner) (Print Name) (Date)