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)