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HomeMy WebLinkAbout0145244-HVAC (furnace) CD CITY OF OSHKOSH No 145244 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2560 2562 VILLAGE LN Owner K L J LLC Create Date 03/24/2011 Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan Fuel L.✓] Gas Oil J Electric Solar Solid System n New 1 121 Replace ❑ Other U Forced Air a Radiant u Steam U A/C J Vent I 1 Electric Hot Water ] Suppl. Li Con. Burner Chimney Type ,C) Chimney A 0 ) Chimney B • Direct Vent 0 Not Applicable Heat Loss 0 As Approved () Existing • Not Applicable Value BTU Rate 7 ,) As Per Plan 0 Variable • Other Value Use /Nature Duplex (2560) / Replace furnace. EIV signed by Seckar Electric. of Work Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $55.00 Issued By: 66 Date 03/24/2011 ❑ Permit Voided I Parcel Id # 1320511700 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. TA. )goat 1330 wawa 41110) Oshkosh. WI 3 - 1130 fps 336-3030 Pax � (92O) 0) 236 -5ou HVAC PERMIT APPLICATION All information altar bold category saw be provided_ Incomplete applications will not be processed, • Appliation(s) ) can be b and fcc(sa c+pu '• ' Oshkosh WI ) and fce(s 8. n � to City Room 205 a ttmailed to Inspcctio Servi normal permit fee, which ever ut permit(s) will fault in fees beam �. PO Box 1128 OR Y doubles or 5100.00 plu: JOB ADDRESS 6256! gaa�� Zane DA E • // viNER � L arz`, i t—/- CONTRACTOR MR INC. 6122 Ory ROAD H ' �tII`IDCOIaJE , WI 5.4 l 86 COCK ® ALL APPLICABLE -4402 PM 582 -01 36 USE CATEGORY • OSinglc Family puplex Olviulti- Family pRentsl QCotumcrci al OLridustri a1 • FUEL `Zr6-as OElcctric OSolid 000 OSolar SYSTEM Q TYPE OOther fact .:Waned Air ORadiant OStcam OA/C OVcat QEloctric OHot Water OS IS �`rEY BEING uppl.00on. Burner Is c m c Ey 13 shall b cL N Oy - L SIg • psr•the BTU a being vented. - & M Cary TYPE OChimncy A ECLAT LOSS As Approved OP 8 vent OOtha BTU RATE 0 A Per Plan O Mot Applicabl OOtha value DESCRIPTION OF ALL WOE BEING DONE � VALUE (Including labor and all tnateriaL'tacludlag light p Lh fixtures) S � DD . ©Q • ELECTRICAL CONTRACTOR � �� V�ticatlo t.rm ��� itiotaci el as +, a►.tl 1' .. y,,ek, • c u ra om►.w. ® a5s Ia a[ A im s ® 215 C1mri Ave= TOBox 1130 f Or+koi WI 64903 -1130 wirion: Fn910.2]6d0i4 , Electric Installation Verification I (We) kSeck{le eit -- c:t. l (Electrical Contractor Name or Homeowner's Name) & &zO COJg'av PtUMMz)2 I'D. OItJIi cOAJ,Jff (AL S (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 6 :0 4/1-40'" , / (Address whe' 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 / fo Lures. 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 occzpled home. Work on a condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other i The value of this work is /649 -c , 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. 1i I. ' . 7 c , (. . D It 71 l e. k5 1 q.,g „q‘,7,. (Signature of . nicety OM= or Homeowner) (Print Name) is (Date) •