HomeMy WebLinkAbout0144732-HVAC (furnace) CITY OF OSHKOSH No 144732
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 911 MERRITT AVE Owner THOMAS C /GINGER A GEHRMAN Create Date 01/24/2011
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Fuel L✓j Gas U Oil U Electric U Solar Li Solid
System — 1 New Q Replace El Other
U Forced Air Li Radiant u Steam __J NC ] Vent
Electric 1 Hot Water U Suppl. Li Con. Burner
Chimney Type ( ) Chimney A • Chimney B () Direct Vent 0 Not Applicable
Heat Loss K ) As Approved () Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC **check #22289
of Work
Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50
Issued By: 5Thcr Date 01/24/2011
❑ Permit Voided Parcel Id # 1100630000
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.
'O. 1 ..�..,� RECEIVED
T
Pune 0)) 2364050 � 130 JAN 2 4 2011
(920) 236 -Sou r1)
DEPARTMENT OF
HVAC PERMIT 1 EO /1�E S D D MENT
EEM O
COMMUNITY t t V IVISION ` � "
AU information attar bold caujoriea asst be provided. J'rc�'' ,rj D
InC0=911148 applications vill roc be yroccaud,
• Application(s) and fee(:) can be brow �"
Oshkosh WI 54903 - 1128. Commencing work without wi �t�m 205 or 12140:1 to Insp���
permit(s) will result in fees being Services, 1'O Box 1128,
normal permit fee, which ever is greater. Y doublcd or 5100.00 plus
•
OR
JOB ADDRESS DATE l - = I • j
OWNER
�/ '' / /i!
CONTRACTOR KM AIR, INC. 6122 COONIT ROAD ti
WIAZriECON,JE , WI 54 9 8 6
CEIECj(® ALL APPLICABLE
— 4402 FAX 582 - 01 36
•
Usx CATEGORY
Mingle Family ODuplcx OMulti -Fa j1
Y QR.cntstl O Co mull crciil O Ind usvial
F(JEL . Zf6 S OElcctric OSolid
OOi1 OSolar ST
ONcw •[rRcplacc
?fig OOthc
OFwtcd Ali ORsdiinc OSccam OA/C
IS OVcat QElectric OHot Wit= OSupp1.0Con_ Buma
Nocc CHIMNEY FEIN GLINgD ONp Ma sized per.ths BTU's SIZE '� do 1 �iANUFACIVRF� E'er'
SS E OChimncy A
OAs Approves 8 O pli OOthcr
BTU RATE 0 A Per plan ON A pplic
OOt2ur Value
DESCRIPTION OF ALL WORK BEING DOME i-
G %J _ l°/ � Cry � _ Ly / f cx l
VALUE (Including labor and all inaterialsinducling u=Dt fixtures) S ....3496 ..-
• ELECTRICAL CONTRACTOR
S "" t` ki � ' tsa r"� `�'r� R�
_,
- - -
RECEIVED
JAN 2 4 2011
a d . d s Mane a.nte.s
ea
215 Chords DEPARTMENT OF
10Baoc1130 COMMUNITY DEVELOPMENT
Oablcolk WI seo� "D' INSPECTION SERVICES DIVISION
O1lii� M Ft( o 920-236-30S4
Electric Installation Verification
1 (we ) 60 LE-c-T . l L
(Electrical Contractor Name or Homeowner's Name)
& io CojP u pt_uMM 2. IUD. G oMeconln ' (AL Sy9 &(,,
(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)
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 Bo; 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 regidre a licensed Electrical
Contractor.
Other
The value of this work is $ CID r 6' .
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.
1
0 • - 7 c , ( p iftiVr e. Scrihe..,
(Sim of • mpary UP.Qccr or Homeowner) (Print Name) (Date)
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