HomeMy WebLinkAbout0144085-HVAC (furnace) (1) CITY OF OSHKOSH No 144085
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 706 N EAGLE ST Owner BRETT M/TRACY L GORSKI Create Date 11/15/2010
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Fuel ❑✓ Gas U Oil L i Electric So J Solid
System ❑ New I 121 Replace ❑ Other
LI] Forced Air u Radiant a Steam u A/C u Vent
Li Electric Li Hot Water Li Suppl. Li Con. Burner
Chimney Type 10 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss ❑ As Approved 0 Existing O Not Applicable Value
BTU Rate 3 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. EIV signed by Seckar Electric.
of Work
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $53.50
Issued By: /J Date 11/15/2010
❑ Permit Voided Parcel Id # 1603970000
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.
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PA. $i t 1130
40)
Oshkosk, W1 54903 - 1130
ruse (920) 236 -5050
Pax (920) 236 -501
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HVAC PERMIT APPLICATION
Au 1ar«mstioa it bold case its swabs provided_
lneompl as applications will not bs processed.
• Application(s) and fcc(s) can bc beougbt to City Hill, Room 205 a mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903 -1128. Co=nencins work without permit(%) will result in fees being doubled or SI 00.00 pltr
ttotmal permit fee, which ever is greater.
OR
•
If y.v Ararat this ereerized threvrk.yevr :eeevw't
DATE //'1 /eD
JOB ADDRESS 7 0 ( n I E k <S -. 6shkr s I1
OwwER ,gI2e? � Ao Sk
CONTRACTOR 11CZ4 AIR, INC. 6122 COMM RO r4, WI IaIDCOtaIE , WI 5 4966
1:)2 02 FAX 582 - 0136
CHECK ® ALL APPLICABLE
•
U C TEGORY
Mingle Family C (Duplex OR.cntal OCocnmcrcial OIndustri
•
• . FUEL 26as °Electric °Solid SYSTEM • ONcw 423
°Oil °Solar OOtha
TYPE .
_Meted Aii °Radiant OStcam OA/C C)Eloctric °Hot Water OSuppl.00on. Barna
IS CHIMNEY BEING LINED $ilo C]Ycs - UNIIR SIZE & }1ANtJFAC1`(JRFR
Note. All chutsacy: shall bc sized paths BTU's Wag vented.
CHIMNEY TYPE OChinutcy A DGhiaascy B $6irect Van °Other
HEAT LOSS DAs Approved t32xisting CINot Applicable
BTU RATE OM Per Plan 2Vaslablc DOtlus Value
•
DESCRIPTION OF ALL WORK BEING DONE l �a� // ("wrier 5 $ uV 8
fbrna00.. / )771
VALUE (Including tabor and all materials' including ULM fixtures) ; a 9 ,400
. ELECTRICAL CONTRACTOR Gecar Q 2(u.caric Is•taltatiaa Vcr111ottna Tara. atuclod(Uaq
FINED
NOV 1 5 2010
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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/ 215 m ee.Um...
FOB= 1130
All Wilco* WI 54903.1130
011: x.1. Fax m 3 .5 C
Electric Installation Verification
I (We) 60- e c-T l C_
(Electrical Contractor Name or Homeowner's Name)
S9Zo COLlg rc- UA PD. GJIrJrJecoN e C SyggG
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
70CQ rl , tag l e. sf-,
(Adess 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 5 'CO
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.
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(Si of C.
mpmy (MeeGr or Homeowner) (Feint Nance) (fie)