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HomeMy WebLinkAbout0143512-HVAC (furnace) a CITY OF OSHKOSH No 143512 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1515 NORTHPOINT ST Owner JAMES R MICHELSON Create Date 10/07/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel ✓f Gas ❑ Oil J Electric j Solar J Solid System [] New 1 4 Replace ! (l Other ✓] Forced Air 1 ❑ Radiant ❑ Steam J A/C ❑ Vent U Electric U Hot Water I Su 1. U PP U Con. Burner Chimney Type 0 Chimney A C) Chimney B • Direct Vent 0 Not Applicable Heat Loss ) As Approved • Existing 0 Not Applicable Value BTU Rate 7 \ ) As Per Plan 0 ) Variable • Other Value Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Seckar Electric. of Work Fees: Valuation $3,700.00 Plan Approval $0.00 Permit Fee Paid $65.50 Issued By: 2-(/ Date 10/07/2010 ❑ Permit Voided I Parcel Id # 1514470000 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.O. Dore 1130 • •K• �"'" f.41).) • Oshkosh, WI 54903 - 1130 noes (920) 236.5050 Tax (920) 236.5064 , HVAC PERMIT APP UCATION Au iatccrostbs atter bold categories mast be provide& InconcIste applications will not be peaces:ed. • Application(s) and fcc(s) cut bc brought to City Hall, Room 205 or mailed to Inspoction Saviccs, PO Box 1128, Oshkosh WI 54903- 1128. Commencing work without permit(s) will tcsult is fees being doubled or $100.00 pltr normal permit fce, which ever is rester. OR If vow are a contractor aartfefoattn• to the Pergf to Adeovnt Sviteat and have adfat,ate fvndi check • if vav went thh areers1ed threvrk your seeeuret P DATE 1 ® 5 -- \ V JOB ADDRESS 1 J 1 5 )' ©Irk 111, p o t in \ OWNER Jam MiCh£'13 CONTRACTOR MCH AIR, INC. 6122 COUNTY ROAD H, WINNECONNE, WI 54986 004 -4402 FAX 582 -0136 CHECK ® ALL APPLICABLE USE CATEGORY 0Sin81c Family °Duplex °Multi- Family ORcntil OCo:unncrcial OIndustr;al • • F(JEL 3as °Electric °Solid SYSTEM QNcw °Replace OOiI °Solar °Chhc TYPE . tForccd Air °Radiant °Stearn °A/C OVcat gEloctric Mot Water OSuppl.00on. Burns IS CHIMNEY BEING LINED ON trYa - LINER. sin 3" do MANUFACTURER ACIURER 1 war Now All chimneys shall bc sized per•ths BTU's being vented. BEY TYPE °Chimney A Clasian ey B i Diroct Vent °Other SLAT LOSS DAs Approved BTU RATE DAs Per Plan Mot Applicable ®Vat{ablc °Other Value DESCRIPTION OF ALL WORK BEING DONE \1( Ca Ca rr t e r (ANC otin VALUE (Including labor and all nsateriab'tacludlag light fixtures) ELECTRICAL CONTRACTOR e� r ' A)Wctrk lastatlati.a Vcriticarloa term tttac►•actr 11.ar{o.l k,+.tt.a.4 y/.n..h l.�. a►.0 1. a.., y L° . 1 u s Y, ;. S f 4r OCT 7 2p}p COMMUNITY GE,, ,,; R - INSPECTION .`iE ZV1UE`s } . ` vIS1ON 215 Ova* * A � .p.. S mo d. z ( og Aems IOB�,l30 11/:An : Office wr 54903-1130 e 920-Z6-5050 . Foot 920.276 -70$4 Electric Installation Verification I (We) S ma c- — . I C (Electrical Contractor Name or Homeowner's Name) • i3O COJ gl? Ft- Li114i t (i D. (AfOr eco i M • (J, Sygg6, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 15 NIsL n� (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 0 4 � 1 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 D (tot*e. cc -s -(e (Signature of C y nIp v Mica or Homeowner) (Print Name) (Date)