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HomeMy WebLinkAbout0143427-HVAC (furnace & a/c) IED CITY OF OSHKOSH No 143427 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1556 DELAWARE ST Owner RICHARD J HUBERTUS Create Date 10/04/2010 Contractor MCM AIR INC Category 502 - Residential -Both Plan Fuel U Gas U Oil 1 j Electric I] Solar U Solid System fj New 0 Replace ❑ Other Li] Forced Air u Radiant u Steam U A/C _I Vent Li Electric u Not Water U Suppl. Li Con. Burner Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved • Existing 0 Not Applicable Value BTU Rate 0 As Per Plan 0 Variable 0 Other Value Use /Nature SFR / Replace furnace and a /c. Install 3" chimney liner. EIV signed by Seckar Electric. of Work Fees: Valuation $7,700.00 Plan Approval $0.00 Permit Fee Paid $125.50 Issued By: 24 Date 10/04/2010 Permit Voided Parcel Id # 1304720000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 Telephone Number 920 - 582 -4402 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. _ • • �.... w .rr JW I e 'Ka PA. • hIcoa WI 1130 4Os hlceale WI 3903 - 1130 new (920) 236 - 5050 Tax (920) 236 -50u HVAC PERMIT APPUCATION AU information altar bold atagor1ms =tubs provided. lacompIsts applications will not his processed. • Application(s) and fcc(s) can be beou8ht to City Hall, Room 205 a mailed to Inspation Services, PO BOX 1128, Oshkosh WI 54903- 1128. Commencing work without permit(s) will result is fees bring doubled or 5100.00 plan normal permit fee, which ever is grata. OR it vast went this aroesrssd throevk Your II e emit DATE I C) JOB ADDRESS I 5 40 e `G Lvck,Y OWNER i ck �" { �n.,�u e, Y` LA. CONTRACTOR 1-4 AIR, INC. 6122 cowry ROAD H, WINNECONNE, WI 54986 d2 - 4402 FAX 582 -0136 CHICK ® ALL APPLICABLE USE CATEGORY Single Family [Duplex [Multi -Fa nily QRcntal [Commercial 01r,duscr; • . FUEL .Gas [Electric [Solid SYSTEM QNcw '$ cplacc [Oil [Solar OOtha TYPE 121Forccd Air [Radiant OStcam 1' A/C OVcat 174Ekstric [Hot Water OSuppl.[Con. Burner IS CHIMNEY BEING L I N E D OPIo AYcs - L I N E R SIZE 3 ' ` & MANUFACTURER? A F A C T U R E R ? I e K I - 1. i v e r Now.. All chimneys shall be sized per•the BTU's bring vested. CHIMNEY TYPE [Chimney A DChitzg cy B Direct Vent OOthcr FEAT LOSS DAs Approved fExisiing [Not Applicable BTU RATE OM Per Plan ;Variable Othe O Value DESCRIPTION OF Al. WORK BEING DONE V\ .�'c;; \ e e r 5 g (6 m\J C © ),o B TU -V tot ackic e �- � K� &'7 p A O ®3 COO T U VALUE (Including labor and all tnatcrials'lncludla= light t1 tures) 5 77 . ELECTRICAL CONTRACTORCS e c fu'z(1!.l.ctric tastau,ts.a Vcrttlotios Iona ata.cti.a(tt tter4we G«srte.l 4ula1LJLir 4.4%orq1see, „ &law he 4+.., by lie' u :s . C City aiw, chit 21 a«Y.adoa 9miaaa z15 A� TOBm 1130 oidrot W1 S4903 -1130 tri: Kam Office 020-M4 -5050 . ... Fitt 920-30 -101+ Electric Installation Verification I (We) & ' k A-ie el. l i (Electrical Contractor Name or Homeowner's Name) S9Zo COJP PcUAiiktl . (EID. (alJ?JEco/J,J " W, Syggc, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: _ 6 e� a C�,� e cDt (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 $ 2 o 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 / installation will be done in compliance with manufacturer and Electric code requirements. • rr . f c,. k.. I) ift7Ur 4. S & 2. i s - 1 - (c) (sigoaturc ofC' wary Of ccr or Homeowner) (Print Name) (lie)