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HomeMy WebLinkAbout0146415-HVAC (a/c) CITY OF OSHKOSH No 146415 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 529 E NEW YORK AVE Owner KEVIN D MCKNIGHT Create Date 06/17/2011 Contractor MCM AIR INC Category 501 - Residential -Air Conditioning Plan Inspector John Zarate Fuel I j Gas Li OiI U Electric Li Solar 1 Solid System New 0 Replace n Other HI Forced Air u Radiant U Steam U NC U Vent Electric I Hot Water u Suppl. U Con. Burner Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 10 As Per Plan O Variable • Other Value Use /Nature SFR / REPLACE 2 TON NC, EIV SIGNED BY SECKAR ELECTRIC * *check #22521 of Work Fees: Valuation ('�� $1,900.00 Plan Approval $0.00 Permit Fee Paid $38.50 J Issued By: ( ' 'k Date 06/17/2011 Permit Voided I Parcel Id # 1109530000 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. .-.. �.....w ....�r.....wu JG4 • M..Gi • T.O. Bee 1130 4111!) O". 4 WI 54903 -1130 Moe (920) 236 -3050 fax (920) 236-5014 •I 4 V HVAC PERMIT APPLICATION AD information altar bold categories emu be provided. incomplete applications will not be proccssoi • Appliation(s) and fcc(s) can be to City HAIL Room 205 or nulled to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1128. Comtttcacing work without permit(s) will result in ices being doubled or 5100.00 plot nonnil permit fee, which ever is grater. OR if vow wept this processed throve), your e • DATE 1S -l/ JOB ADDRESS . ,. q M L� l /� y6r4 o.e- OWNER A /// CONTRACTOR tiiat AIR, INC. 6122 =NW ROAD K, WI 1;Q IE, WI 54986 �tt2 -44 VI 582 - 0136 CBECK ® ALL APPLICABLE $ U TEGO ta Family RY ODuplcx OMu1ti- Family °Rental °Co uncrcial OLndusci • . FUEL °Gas °Electric °Solid SYSTEM ONcw C cplacc °Oil °Solar °Oche TYPE -/ OFocred . Air ORsdiant OStcam;IX CVcat C1IIoctric DRot Wata OSuppl.00on Buena IS CMMNEY BEING LINED do CYYcs - LINER SIZE & MANUF ACT'URFR Notr. All chinuseys shall be sized per tbs BTU's betas vested` CHIMNEY TYPE °Chimney A °Chiaatay B °Direct Vent OOthcr UZAT LOSS DAs Approved °Fxistins °Not Applicablc BTU RATE 0 A Per Plan °Variable °Other Value DESCRIPTION OF ALL WORK BEING ONE /` ' `-d- 4 '�S 29 Ale Weth edotA 1. l3 Tat) U VALUE (Including labor and all reran rials'including light =urea) � /900 (3 . ELECTRICAL CONTRACTOR adeiAr eitIktucatc lastatlutaa vartttcAdoo taro attac6odtV 14 GasrioJ Loan i.. o/aer MVLo�+.+.r .p.4... ak.0 ►, Are by d ata aLupmem &Moss 21S C1rari AVMS POD= 1130 • � � u mice n0.7i ce o. S4903-1130 I / OffieC 926.505C • Fa 920236 -7054 Electric Installation Verification I (We) SCkAle - c. 1 c (Electrical Contractor Name or Homeowner's Name) 8920 CoJ gl{ PI-0111-►z2 PD. O econl C Sygg(.. (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address where rit 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 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 multiuse building would require a licensed Electrical Contractor. Other The value of this work is $ / 4e .O , 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, t .. 7 e r ( D OA* e. ‘S Z.P ' 45 // (Signature of C • . Officer ccr or Homeowner) (Print Name) (Date)