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HomeMy WebLinkAbout0144251-HVAC (furnace) C li) CITY OF OSHKOSH No 144251 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2265 WELDON CT Owner TODD C KITZEROW Create Date 12/02/2010 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas 1 1 Oil U Electric u Solar Li Solid System n New ! Q Replace [] Other 1.1 Forced Air 11 Radiant 1 Steam u A/C Li Vent J Electric Li Hot Water Su 1. u PP U Con. Burner Chimney Type J Chimney A () Chimney B Y • Direct Vent 0 Not Applicable Heat Loss ( ) As Approved 0 Existing () Not Applicable Value BTU Rate ( ) As Per Plan () Variable • Other Value Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Seckar Electric. of Work Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00 Issued By: GiJ7l /.1/ Date 12/02/2010 ❑ Permit Voided I Parcel Id # 1319660000 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. PD. B b 1130 4111!) Odikos. WI ? MA) 236 -3oso S < ©D Tax (n0) 236 -5014 N + )A HVAC PERMIT APPUCATtON AU information altar bold categories asst b provided. lacomplsts applications wi11 not In pvccsxd. • Application(s) and fcc(s) can be brought to City Hall, Room 205 or =nod to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result m fees being doubled or 5100.00 plu: normal permit fcc, which ever is grata. OR • • tf vev'maxi thls processed threvrh your :feel/let DATE ' /O JOB ADDRESS c 5 L %Jo? et OWNER '' a' 169 ct) CONTRACTOR Hai AIR, INC. 6122 COUNTY ROAD H, WIME ON E, WI 54986 t$1 -4402 FAX 582 -0136 CBECK El ALL APPLICABLE • US�'CATEGORY Single Family °Duplex °Multi- Family °Rental °Cortitncrcial DLndustnal • . FUEL )21 as °Electric °Solid SYSTEM ON _s 14lacc OOiI °Solar DOthcr TWE • gFocccd Ali °Radiant OStc m °A/C cat QIIocttu OFiot Water OSuppl.00on. Burner IS CHIMNEY BEING LINED ONo °Yes - LINER SIZE 3" & MANUF ACTURER FLEYL - Liner Now All chi:aazy' shall be sized perdu BTU's being vented. CUM EY TYPE 0Chitnney A ErChircoacy B Rthirect SLAT LOSS DAs A vcd J xisting Mot Applilcable OOtha BTU RATE DAs per Plan OVuz{able OOthcr Valuc DESC ON OF ALL WORX BEING DONE -%vid a2L 5a/-1 vU sonDO P`fa VALUE (Including labor and all materials'lacludiag U t tlztmra) ,� 3p "°° , Dv . ELECTRICAL CONTRACTOR iee)QsL p g- teetauatsas vvtticatsoa larva uuc►.d(u Lea Chemical Hu+attaAlea ., „ �, a►.L ►, a.., y V RECEI DEC 02 2010 D 2 APTMENT OF `'mFNT tN�, �A! as a a AVMS . 213 C YgiAW s Togo 1110 OalkaiW1 S4903-1130 caw 920.r.45056 • Fax 920.216 -10$4 Electric Installation Verification 1 (We) S 4f ie fit,.: -c-- .1 L (Electrical Contractor Name or Homeowner's Name) 51z0 COJT PI-U/14 X12 PD. (A r`1n1ECON 6" W, SyggC, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) X Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occgoied home. Work on a condominium, duplex, rental, or multi-use building would require a licensed Electrical Contractor. Other The value of this work is$ .DO �, I hereby verify this work will be performed in compliance with the License code and requirements / installation of Section 1 1 -22 of the Oshkosh Munici will be dont in comp liance with ma nufacturer and Electric code i the / installation P requirements. 1 i . fc,,k. 1 (Signature of C . fumy Officer ar Homeowner) (Print Name) (Date)