HomeMy WebLinkAbout0154760-HVAC /�"j CITY OF OSHKOSH No 154760
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2300 WHITE SWAN DR Owner PETER J/MEGAN H LANG Create Date 03/19/2013
Contractor MCM AIR INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Gas Oil Electric Solar �, Solid �
System � New � � Replace j �✓ Other �I
Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner �
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature FR/REWORK DUCTWORKAND VENTING,GAS PIPE TO NEW RANGE AND WATER HEATER "check#23533
of Work '
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,
i ,
Fees: Valuation $2,650.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 03/19/2013
❑ Permit Voided I Parcel Id#1521550000
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
AgenUOwner
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 �INK��--�
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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 1]28,
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 adeguate Junds check here
�f vou want this processed throuQh your account n
**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 pernut application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 03/18/13
JOB ADDRESS 2300 White Swan Dr.
OWNER Peter & Me�an Lang
CONTRACTOR MCM Air, Inc.
CHECK■ALL APPLICABLE
USE CATEGORY
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial �
FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ■Other rework ductwork and ventin�
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ■No ❑Yes -LINER SIZE &MANUFACTllRER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
Rework ductwork and venting. Gas pip to new range&water heater
VALUE (Including labor and materials) $2650.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�