HomeMy WebLinkAbout0143272-HVAC (furnace) 0 CITY OF OSHKOSH No 143272
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1317 LAMAR AVE Owner GORDON R LUND Create Date 09/23/2010
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Fuel 0 Gas 0011 Electric ❑ Solar [1 Solid
System ❑ New Replace 0 Other
F orced Air H Q ❑R adiant L Steam ❑ A/C 111 Vent
L] Electric allot Water ❑ Suppl. f ❑ Con. Bumer
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent ) Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate Q As Per Plan Variable 0 Other Value 80,000
Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC * *check #22015
of Work
I
Fees: Valuation $3,625.00 Plan Approval $0.00 Permit Fee Paid $65.50
Issued By: Date 09/23/2010
❑ Permit Voided JI Parcel Id # 1202370000
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.
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Dos 1130
41P)
Oahkoalea Wl 5903 - 1130
?boos MO) 236 -5050
Tax (920) 236.5014
+ VA
HVAC PERMIT APPLICATION
Au iatamatios altar bold categories =tube provided.
lncomplsts applications will not be promise .
• Application(s) and fee(s) can be beought to City Hall, Rom 205 or mailed to Inspection Suviccs, PO Box 1128,
Oshkosh WI 54903- 1128. Commencing work without permit(:) will result in fees being doubled or 5100.00 ptw
normal permit fce, which ever is grestcr.
OR
•
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DATE (G
JOB ADDRESS 1 3 (7 i YYl Q r H VG
OWNER l o +C G),
CONTRACTOR MQ4 AIR. INC. 6122 COUNTY ROAD K. WIN ECONNE, WI 54986
w52 -4402 FAX 582 -0136
COCK ® ALL APPLICABLE
•
USE CATEGORY
53,Singlc Family ODuplex OR.ental OCommcrcial Olndustrtal
. FUEL J&Gas OElcctric OSolid • SYSTEM ONcw .cplacc
0Oi1 OSolar OOtha
TYPE
*arced Air ORadiant OStcam OA/C OVcat QElectric t3Hot Water OSuppl.00on. Burner
IS CHIMNEY BEING LINEDAIo OYa - LINER SIZE & MANUPACTURER
Now All chimneys %hall be sized pa.the BTU's being vented.
CIECKNEY TYPE OChimncy A OCbit:a cy B )ffiDiroct Vcnt OOtha
SLAT LOSS DAs Approved t21Existing ONot Applicable
BTU RATE DAs Pcr Plan rg3latiabk OOtha Valuc
DESCRIPTION OF ALL WO)( BEING DONE �Y1 ' a I ( a v- t i e'w 5S3 MVO Qe 3
&6 OdO aT't) .Vulit YnczCe
VALUE (Including labor and all tasteriala'lacludlag light tlstures) 5 3 b
ELECTRICAL CONTRACTOR E CY'
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POBox 1130
'Disko W7 549031130
II71i TI: F Offix sav as a
Electric Installation Verification
1 (We) Sec- kMe etecm , l L
(Electrical Contractor Name or Homeowner's Name)
& &Z0 coop -woi pl,U44 2. RD. GJ(0/JecoAyie GJ. Sygg(,
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
1 317 k A»e,
r
(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 Heatcr 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$ ) 4 •
I hereby verify this work will be performed in compliance with the License requirements of
Section 1 1 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
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O .. 7 D I r ,r°. S cKit.e. 9 al ' l°
(Signature of C • molly Ofl ccr or Homeowner) (mat Name) (Date)
nat OW