HomeMy WebLinkAbout2011-HVAC (a/c) CITY OF OSHKOSH No 146311
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1836 GEORGIA ST Owner THOMAS /CAROL JOSEPH REV TRUST Create Date 06/09/2011
Contractor MCM AIR INC Category 501 - Residential -Air Conditioning Plan
Inspector Nicole Krahn
Fuel U Gas U Oil U Electric U Solar U Solid
System ] New ❑ Replace [] Other
J Forced Air u Radiant Li Steam U NC u Vent
Li Electric U Hot Water I Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / INSTALL NEW 2 TON NC, EIV SIGNED BY SECKAR ELECTRIC "'check #22504
of Work
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $38.50
Issued B y : an Date 06/13/2011
❑ Permit Voided Parcel Id # 1408520000
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.
P.O. Bon 1130 ' •
OAkos>< WI 5
(41.)
noes MO) 236-5050
Tax (920) 236-5014
HVAC PERMIT APPUCATION bold categories must be provided.
AU inforsnation Income � be processed.
• Appliation(s) and be fcc(s) can bc+ou " It to
Oshkosh WI 54 903 - 1128. fcc(s) Commencing may , Room 205 a n1><ikd to
work withotll pamigs) will rc ult in f Inspection
doubled �ubi ed o r Si 0.00 Box l 1 pl
normal permit fee, which ever is miter, blr plu:
OR
..
.. ...
,� DATE le • , ' //
JOB ADDRESS
I
OWNER ■ // / 4 .S
CONTRACTOR HQ1 AIR. INC. 6122 W5,1VED
COUNTY H WI , a6
—4402 FAX
CHECK 65 ALL APPLICABLE
��II- o19�
USE CATEGORY DEPARTMENT OF
•
"'Single FutlilY ODu lox COMMUNITY DEVELOPMENT
p OI�Iulti Family ORentil INSPECTIO SERVICES DIVISION
a co nun ern a1 O Irsd,�; v
•
• FUEL °Gas OElcctric °Solid .
OOi1 °Solar Jaricw
°Replace
TYPE , OOtha
°Forced Air ORzdiant OStcarn C
= QIIocttic Mot Wits OSuppl.pCon. Burns
IS CHIIv»EY BEING LINED plyo ClYcs
Now All chimneys shall be sized Paths BTU's being ventacL SI'LE & l".ANUFACTLJR.a
BEAT SSE OChirtuK A
BTU RATE DAs Appro ' 8 1: t Vent OC>tha
DAs per plan QNo Applicable
DESCRIPTION OF All, OOt2ur Value
ORx .. a DONE A fa`/ . ���er �, off` /',.
VALUE (Including labor and all material = U=ht tlxtur
a) (iv , , 1 3 1
• ELECTRICAL CONTRACTOR 0,5
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215 CYmiMemo
POBox IUD
f Oihkoit W1 519011130
Electric Installation Verification
1 (We) kSe kkte c i L
•
(Electrical Contractor Name or Homeowner's Name)
S9 a0 COJTiv1 PLUM/1 R Oft IJECOAWE (A), Sy Ig(0
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
/3 (p
(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 1 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 $ /5 a 1
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 - 22 of the Oshkosh Municipal cock and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
1 t r
I.'. f �.k.. Duci -Nc e. SS cr t e._ t •-e ///
(Signature ofC 'mpsny Oft= orHomeowner) (Print Name)
(Dace)