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Home My WebLink About0144106-HVAC (furnace) CITY OF OSHKOSH No 144106 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1040 N WESTFIELD ST Owner EVERGREEN VILLAGE Create Date 11/16/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel 111 Gas Oil ] Electric I 1 Solar Li Solid System n New Replace LLOther Li] Forced Air u Radiant u Steam A/C Li Vent 1 Electric u Hot Water J Suppl. 1 Con. Burner Chimney Type 0 Chimney A O Chimney B • Direct Vent 0 Not Applicable Heat Loss As Approved • Existing 0 Not Applicable Value BTU Rate 3 As Per Plan 0 Variable • Other Value Use /Nature Apt #313 / Replace furnace. EIV signed by Seckar Electric. of Work Fees: Valuation /1 $3,000.00 Plan Approval $0.00 Permit Fee Paid $55.00 Issued By: � r7X/1/ Date 11/16/2010 ❑ Permit Voided Parcel Id # 1608640200 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. .... •••••• .r. ...rr•••■ •ca v M.44 TA. Sas 1130 40) Oshkosh, W1 349034130 Puma (!20') 236-5050 ?au (f20) 236 -50&4 . V • HVAC PERMIT APPLICATION mI information attar told cus& asst es provided. lam:pla a applications will not bs processed. • Application(s) and fcc(s) can be brought to Qty Hsl1, Room 205 a tnailcd to inspection Saviccs, PO Box 1128 Oshkosh WI 54903 -1128. Co nr c sing wait witbotti paalit(s) will tuult in !ea being doubled o l00.00 pltr non 1 permit fee, which ever is gaga. OR pry.. %rut this art:semi threvrh vevr creel/vet DATE 11 - 1 - f ° JOB ADDRESS t (?) O I\1 Le./6 s -- c - 16 1 -\ 4 313 OwrrER c r e e C Le` i Y e v t e Vl`" \' CONTRACTOR tY.2t AIR, INC. 6122 cans= RCAD 14, WINNEC NNE, WI 54986 0t12 -4402 FAX 582 -0136 CHECK ® ALL APPLICABLE • USE CATEGORY OSingle Family ODuplcx Multi Family QRental 0 Comm crcial 0Iadusai • . FUEL *as OElcctric OSolid SYSTEM ONcw XRcplacc °Oil OSolar OOth= TYPE j7orccd Air ORadiant OStcam DA/C DVcat QIIcctric allot Water OSuppl.00on. Burn= 1S CHIMNEY BEING LINED glo DYa - LINER SIZE & MANUF AC1 URER Note: All chimneys shall be sized per•tbs BTUs being veated. CHIMNEY TYPE OChimncy A OCbiaa cy B INDuact Vcnt OOthc SEAT LOSS DAs Approved taxistins ONot Applicable BTU RATE Elks Per Plan Jsriable OOtlus Value DESCRIPTION OF ALL WORK BEING DONE iZp: \ ace. 'cwt. y■o,Ce. ; +■ (t clrYt e r S' 1\4 1cOLn 6 4). ©OO 13T(/ u_ w VALUE (Including labor and all a atertals'lacludia =Ught txtuta) . ELECTRICAL CONTRACTOR t3eCI al-cr )g(u«srtc lanallariea Vcrtllotloa tons attac►.d{tr L * [1«tv4+.! bu V!latLa 1/..�ptaos+�+++ wr(�.5., a►.8 k draw by G RECEIVED NOV 1 6 2010 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION =s . 6 caroto et•w• 2 . Services 217 C1wari Amos TOM 1130 f Wilco& WI 54903-1130 �7�a - • •7�� Eft 920436-30S4 0 Electric Installation Verification I (We) S k 1 E1 --T l C_ (Electrical Contractor Name or Homeowner's Name) Sqao COJ oi FtunAp *. IUD. 00/JEcorJn ' (AL Syggc (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: I3 `-© N \Ne, - c1-e1/ it- 33 . (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 $ 1 (0© I hereby verify this work -c ill 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. 0 '- f ( DiLiVr 4.5 1H5 /0 (Signature of • tummy Officer at Homeowner) (Print Name) (Date)