HomeMy WebLinkAbout0154860-HVAC � CITY OF OSHKOSH No 154860
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 3341 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 01/31/2013
Contractor MCM AIR INC Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas , Oil Electric Solar Solid
System � New � Replace 'I ❑ Other J'
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✓ Forced Air j Radiant Steam � ✓ A/C l' p Vent
Electric Hot Water � Suppl. �] Con. Bumer I
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Chimney Type ChimneyA � Chimney B � Direct Vent 0 NotApplicable �
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan 0 Variable � Other Value 100,000
Use/Nature NSFR/INSTALL NEW HEATING SYSTEM FOR NEW HOME `�check#23546
of Work
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Fees: Valuation $14,900.00 Plan Approval $0.00 Permit Fee Paid $224.00
Issued By: � Date 03/27/2013
❑ Permit Voided I Parcel Id#1336320000
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 �I�IKC��N
ON TNE L'IAT-R
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
lfvou are a contractor participatinQ in the Permit /'ee Account Svstem and have adequate�unds check here
iJvou 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 03/26/13
JOB ADDRESS_ 3341 Mockin�bird Wav RECEIVED
OWNER Rusch Homes LLC/Scott Ney
CONTRACTOR MCM Air, Inc.
MAR 2 7 2013
DEPARTi11fEi7 OF
CHECK■ALL APPLICABLE C0�1�IUITTY DEVELOP�IE:VT
INSPECTiOti SE[2ViCES Dl�'ISTOV
USE CATEGORY
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ■Gas ❑Electric ❑Solid SYSTEM ■New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
■Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CffiMNEY BEING LINED ■No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A ❑Chimney B ■Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value 100.000 BTU's
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
New Construction—Install Carrier Modulating Infinity Furnace—59MN7A, install Carrier Comfort 13 3.5 Ton AC-
Install Renewaire EV200 air exchanger
VALUE(Including labor and materials) $ 14,900.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Seckar Electric
o�/o�