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HomeMy WebLinkAbout2010-HVAC (furnace) 0 CITY OF OSHKOSH No 143513 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 55 LAKE REST AVE Owner FREDERICK W /EILEEN M WEILAND Create Date 10/07/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel 11 Gas 1 ] Oil u Electric U Solar U Solid System C New 1 0 Replace ! ❑ Other 121 Forced Air ❑ Radiant ❑ Steam U A/C ❑ Vent Li Electric U Hot Water 1 J Suppl. I Con. Burner Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss \ ) As Approved • Existing 0 Not Applicable Value BTU Rate As Per Plan • Variable Other Value Use /Nature SFR / Replace furnace. EIV signed by Seckar Electric. of Work Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00 Issued By: 07j,Q/ Date 10/07/2010 ❑ Permit Voided I Parcel Id # 1416240000 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. P.0. Bon 1130 r4.)) Corbkosb. WI S4903 nose 2364050 Tax (920) 236 -5014 1.1 V y HVAC PERMIT APPLICATION All internation attar bold catssoziss numbs provided. Incorr1au applications will not be processed. • Application(s) and fcc(s) can be beought to Qty Hall, Room 205 cc =god to Inspection Scrvicos, PO Box 1128 Oshkosh WI 54903 -1128. Commeaeing work without permits) will =It in fea being doubled or 5100.00 plu: normal permit fee, which ever is gruter. OR If vo• are a contractor Darttelvattet In th[ Per ;ILf ot,n tf Ac t Snip', and have adeauatc fund! cheek • St'„yetoren, MI/ s: roomed threevk Yeurleceusft DATE i8- 5 10 JOB ADDRESS -5 5 L. 4, � 'Q e gl Ave, OWNER h iTz V\ e 1 p 1- a Y1 C CONTRACTOR Hai AIR, INC. 6122 many ROAD H, WINNEC0NIIdE, WI 54986 on1 -4402 FAX 582 - 0136 CHECK ® ALL APPLICABLE • USE CATEGORY 12SinglcFasnily °Duplex °Multi- Family pRcntal °Commercial °industrial . FUEL =as °Electric °Solid SYSTEM CNcw CILRcplacc OOiI °Solar °Other TYPE . I1Forccd Air °Radiant OStcam DA/C OVcnt =lcctzic [Mot Watcr OSuppl.00on. Bums IS CBIMNEY BEING LINED til DYcs - LINER S17E do MANUFACTURER Noe: All chimneys shall be sized per.the BTU's being vented. CHIMNEY TYPE °Chimney A pl B Direct Vast °Other RZAT LOSS OA: Approved 7 .1• •••• . °Not Applicable BTU RATE O As Per Plan IF triable °Other Value DESCRIPTION OF ALL WORK BEING DONE F 1 11.g* (( pLt(' t e r h g 1SV ©g0 iC". 0O0 13 Ltr ►�La ee VALUE (Including labor and all materials* taclu g light ILI:turtes . ELECTRICAL CONTRACTOR S e Cyr a r gia Or«trtc lsr�* =It vvuk,aa r.r,■ attacd(tt tt� R E 'hrteAt OCT 7 2010 liFr A COMMdNiTY �t'.`,1=-Ni INSPECTION SERVIC °` )t . iciON _s. grits 317 ( \ W 1 eie� kelt a.�.�.. ��J O o A�eoms Mika 1130 Ot1c W1 54903-1130 30 X1.1 :: {�1l: omoo 920.r640so . FIR 020-236-3054 Electric Installation Verification I (We) & e -1 -1 C_ (Electrical Contractor Name or Homeowner's Name) ,S9 a0 CoJg PI WM/ . PD. CA itJtJ cOi nie W, Sy,Elc, (Address) (City) (State) (Zip Code) accept the responsibility y to perform the electric work as stated below, at the following address: 55 (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 $ 1 _50 , 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 k. D IfiNc S cr lo- 5- 98 (Signature of C s mow Officer or Homeowner) (Print Name) (Date) •