HomeMy WebLinkAbout0154678 - HVAC (furnace) 0 CITY OF OSHKOSH No 154678
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1412 N EAGLE ST Owner ERIC/MARY JO ANDERSON Create Date 03/08/2013
Contractor MCM AIR INC Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel u Gas ❑ Oil U Electric ❑ Sola• H Solid
System H New J 0 Replace ❑ Other
U Forced Air ❑ Radiant ET Steam 1 A A/C 1 Went
LH Electric I ] Hot Water ❑ Suppl. 0 Con. Burner 1,
Chimney Type ❑ ChimneyA 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss O As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value 60,000
Use/Nature SFR/REPLACE FURANCE "check#23523
of Work
Fees: Valuation 1 $2,150.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �-'I ' L _ Date 03/08/2013
❑ Permit Voided Parcel Id#1600550000
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfFIKOJH
�J ON 7,,F
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 03/07/13
JOB ADDRESS 1412 EAGLE ST. RECEIVED
OWNER ERIC & MARY JO ANDERSON
CONTRACTOR MCM AIR, INC. MAR d 8 2013
'3E'ARTMENT OF
CHECK•ALL APPLICABLE COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL •Gas ❑Electric ❑Solid SYSTEM ❑New •Replace
❑Oil DSolar DOther
TYPE
•Forced Air DRadiant ❑Steam DA/C OVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED •No DYes - LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B •Direct Vent DOther
HEAT LOSS DAs Approved ■Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE REPLACE FURNACE WITH CARRIER
59TP5A060E171114 60,000 BTU'S
VALUE(Including labor and materials) $2150.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07