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HomeMy WebLinkAbout0144375-HVAC (furnace & a/c) CD CITY OF OSHKOSH No 144375 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1656 COVINGTON DR Owner CLAUDE A COLLINS Create Date 12/14/2010 Contractor MCM AIR INC Category 502 - Residential -Both Plan Fuel U Gas LJ Oil U Electric U Solar 1 j Solid System [] New I 121 Replace 1 n Other u Forced Air ❑ Radiant U Steam u NC IJ Vent 1 Electric u Hot Water Li Suppl. J Con. Burner Chimney Type 0 Chimney A ❑ Chimney B • Direct Vent 0 Not Applicable Heat Loss C) As Approved • Existing ❑ Not Applicable Value BTU Rate ) As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace and a /c. Install 3" chimney liner. EIV signed by Seckar Electric. of Work Fees: Valuation $5,500.00 Plan Approval $0.00 Permit Fee Paid $92.50 Issued By: (.( J Date 12/14/2010 ❑ Permit Voided I Parcel Id # 1317070000 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. T 1 u 54903-1130 w+r .�ca v.�.ca (4) Kass (920) 236.3030 Tax (920) 236..50j4 HVAC PERMIT APPUCATION " ` " AU iararasatioa altar bald categories =las t IS provided. Ineoraplasa applications win ace proccued. • Application(s) and can be fcc(s) Oshkosh WI S and f c(s) Comte w� Hall, Room 205 a mailed to normal permit fee, which ever u ter. permit( :) will result is f ,� �� • PO Box 112 OR • i;doubled orll00.00 • .. JOB ADDRESS ) �, ro DATE Z- 13 - l� ��'V -1 41 b1 OWNER \ t a - ©f i l+ CONTRACTOR MC?! ATR, INC. 6122 COorry ROAD ?{ 1 +TINNECON,IE CHECK ® ALL APPLICABLE -4402 `FJ.X 582-0136 USE CATEGORY • t&SiuYle Family ODuplex OMulti- Family QRental O Conzmati al Olndusrri it FUEL RIG a s OElcctzic OSolid 00i1 °Solar SYSTEM O _TYPE Nt:w cplacc AGl! °Other er+ccd Ai OR3diant OStcartOHINC OVtat QEketric °Hot Wester OSuppl.pCon. Burns IS BEY BEING LINED acs *� Note: All chimneys shall be sized B•I. i g wale S� ` ,� � & NUFA �t seated. CIVRER BEAT SS E °Chimney A O 8 0 A- 1 A Vast OOtha Wru RA CIA: P �p �� mot Applicable DESCRIPTION OF ALL woux B OOtlur Value ones >�awG Do rrE Q I( a VALUE (Including labor sad all materialslatludlag light Arturo) (30 • ELECTRICAL coNTRAL -roR ya tleark k, „ la '� 11i aoa tons assac►•av Itsplacs _1. ® Dits le% et butogoios &Ma e 215 (,9wri Awe= 7Otiaz MO O1** WI 919011130 01.tf,411: pwe r4- G Electric Installation Verification I (We) 60kA se c- 1 C_ (Electrical Contractor Name or Homeowner's Name) 59a0 COJr 0 MM 2 ID, bill eCO/►E C4- 54g8C (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: U (•,-. ess 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 $ 2 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 0 . . 7 i 1 z D � ,� s a� l I 31 a p (Signature of • rnpauy Mica or Homeowner) (Print Name) (Date)