HomeMy WebLinkAbout0146414-HVAC VOID e l) CITY OF OSHKOSH No 146414
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 915 E LINCOLN AVE Owner LEONA 11 ZILLGES Create Date 06/17/2011
Contractor MCM AIR INC Category 500 - Residential- Heating & Ventilating Plan
Inspector John Zarate
Fuel U Gas U Oil Electric u Solar u Solid
System 0 New Q Replace [] Other
Forced Air u Radiant a Steam u A/C a Vent
Electric U Hot Water J Suppl. U Con. Burner
Chimney Type 0 Chimney A • Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 60,000
Use /Nature SFR / REPLACE FURANCE AND INSTALL 3" CHMINEY LINER, EIV SIGNED BY SECKAR ELECTRIC **check #22522
of Work
Fees: Valuatio $2,900.00 Plan Approval $0.00 Permit Fee Paid $53.50
Issued By: Date 06/17/2011
0 Permit Voided Parcel Id # 1106100000
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.
-.. J4 v 0-ca
PA. Sac 1130
(4)
Ovhok W1 54903 -1130
Ttiees (920) 236 -3050
Tax (920) 236.50a4
M V VA
HVAC PERMIT APPLICATION
A11 la conostios 2% bold categories saustb provided.
lneomplas applications Lip aoc b peoceisod.
• Application(s) and fcc(s) can be brought to City Hs Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1121. Commencing work without permit(s) will result izt ices being doubled or 5100.00 On
normal permit !cc, which ever is grata.
OR
.. .... .
if vew we'll this ereetsitd threerk veer eeeendt •
/
DATE C�c `( 5!`
303 ADDRESS 9'`5 01 i i) x.12,
OWNER cf\z,
CONTRACTOR, mc! AIR, INC. 6122 COMITY MAD 1{, WIME ONNE, WI 54986
Jt52 -4402 FAX 582 -0136
CHECK ® ALL APPLICABLE
•
USA CATEGORY
Single Family ODuplex OMulti- Family QRental OCorn naziil Oladustrt
• . FUEL ,Gas OElcctric OSolid SYSTEM . ONcw cplacc
OOil OSolar OOtha
TY1E
irccd . Air ORadiant OStcam OA/C OVcat gIIoctric Oliot Water OSuppl.00on, Bums
IS CIIIMNEY BEING LINED ONo 2lfts - LIN D. SIZE 3 & MANUFACTURER Floc/tier'
Note: All chimneys shall be sized pa•tbn BTU's hems vented.
OTIMNEY TYPE OChironcy A 1236b.imstay13 ODiroct Vent OOthcr
SLAT LOSS OAs Approved OFD ONot Applicable
BTU RATE 0 A Per Plan Mailable OOther Value
DESCRIPTION OF L wORX BEING DONE
1 �
,5 r 6'6 eco 13 7ZC.
•
VALUE (Including labor and all materials' lacluding light tURwres) ont9
ELECTRICAL CONTRACTOR fid• e 1at,u,ti„ Vertnotson tam attac►.d(tt
CJ+ctriod 4uuiluL.
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r `y J `r r /` /J ' 215 (,'hrcth Aw us
FOB= 1130
Orticodi W1 54903-U30
•1V 1 . I 0
ll F 0236-0084
Electric Installation Verification
/ (We) S A (e e -c-11 1 t C
(Electrical Contractor Name or Homeowner's Name)
S9ao CO dgivpi CO Pt-uMM 2. '). 030 /JecoiJiJE (4 S
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
q/5 _ x '111
(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.
- Reoonnection 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 $ /&e, D )
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and fiuther verify the reconnection / installation
will be dont in compliance with manufacturer and Electric code requirements.
I
I.', f t;( D(mac e• S ii-g.. 41/5
(Sigaature of • mpaoy Officer or Homeowner) (Print Nance) (Date)