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HomeMy WebLinkAbout0144636-HVAC (furnace) CD CITY OF OSHKOSH No 144636 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 681 BOYD ST Owner JEFFREY /KRISTIN (SHAM Create Date 01/13/2011 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel it Gas Oil J Electric Solar u Solid System ❑ New 1 17 Replace J ❑ Other u Forced Air U Radiant u Steam u NC IJ Vent U Electric Li Hot Water u Suppl. 1 Con. Burner Chimney Type ) Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss 7 , ) As Approved • Existing 0 Not Applicable Value BTU Rate 0 As Per Plan • Variable 0 Other Value 80,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED SECKAR ELECTRIC **check #22278 of Work Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By:k Date 01/13/2011 ❑ Permit Voided I Parcel Id # 0405960000 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. E.6 . Oshkosh. 1130 osh W Oshlcos>t, W154903 -1130 noes 020) 236 -3050 Tax (920) 236 -50L4 ns : wa HVAC PERMIT APPLICATION JAN 1 3 2011 AU information attar bold categories seam bs provided. Incomplete applications will Isot be processed. • Application(s) and fcc(s) can be brought to Qty Hall, Room 205 or mailed to hnspccfitti ccs;. P0++831 1128; Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fee being doubled or S100.00 p1tz: normal permit fee, which ever is grater. OR it v•u weer this nreets:Id tkreurk your (ceet,Wr • 1 DATE - 1 2--i1 JOB ADDRESS (o g I Boy Q St OWNER J e "q �- { i 5 ) 3 h o n CONTRACTOR Hat XIR, INC. 6122 COUNTY ROAD H, WINNECOKNE, WI 54986 t32 -4402 FAX 582 -0136 CHICK ® ALL APPLICABLE USE CATEGORY aSinglc Family ODupicx OMulti- Family QRental OConnmcrcial Olndust=i • . FUEL Was OElectric OSolid SYSTEM ONt w CPRcplace DOil OSolar OOthcr TYPE t3Forecd Air ORadiant OStcam DA/C DVcat gElectric DHot Water OSuppl.00on. Burner IS CHIMNEY BEING LINED t2tNo DYa - LINER SIZE & 'MANUFACTURER Note. All chimneys shall be sized per•tbs BTU's being venied. CHIMNEY EY TYPE OChi A SLAT LOSS DAs � g B Applicable OOtha BTU RATE DAs PCT Plan OVariablc OOther Value • DESCRIPTION OF ALL W O , J � X c BEIN G DONE i 1 n 'AGO \ e Yr S U\/130Si © e0, Opp BTU tkY' vlace, • VALUE (Including labor and all enaterialsincludla= Ugbt tlstures) � 3 1 0 0 ELECTRICAL CONTRACTOR E% of r Llectric lastallatlee Ve iticatloa corm attscaonat Rep++a Liscuied 6utatiada4 �/ i . 0 . .. _„ h f.., by lieu _1. • 215�C ell AVM �s s.r.w.. ttJ G' AVM= POB= 1130 Orhkot R7 54903-1130 Ka ,vi: Office 9Zbr6 -soso Fac 924.236 -14$4 Electric Installation Verification I (We) Ai E c- 1 L. (Electrical Contractor Name or Homeowner's Name) S &Zo COJ P-UA4/1t12 PD. dirt. 1>ccolunle GJ. 9-08C, (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 68 t III GI St (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) _1 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 2 3 — , 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 , 7 (,. ( p Iffiivr e SS & ie., 1- I z- 1 I (Signet= of C • rnpaoy Oft= or Homeowner) (Print Name) (Date)