HomeMy WebLinkAbout0155605-HVAC (a/c) f
� CITY OF OSHKOSH No 155605
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 890 GREENFIELD TRL Owner JAMES/PATRICIA J LITKE Create Date 05/14/2013
Contractor MCM AIR INC _ Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuei Gas Oil ✓ Electric � Solar � Solid _�
System a New � a Replace I � Other �
Forced Air Radiant Steam ✓ A/C Vent �
Electric Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
Heat Loss As Approved � Existing � Not Applicable I Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE 2 TON A/C,ELECTRICIAN IS SECKAR ELECTRIC **check#23626 ,
of Work '
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Fees: Valuation $6,900.00 Plan Approval $0.00 Permit Fee Paid $126.00
Issued By: � Date 05/14/2013
❑ Permit Voided � Parcel Id#0613730000
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.
Ciry of Oshkosh
Division of Inspection Services �
P.O. Box 1130 �
Oshkosh,WI 54903-i 130
Phone(920)236-5050
Fax (920)236-5084 �K��--�
QN THE LYATER
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 Svstem and have adequate funds, check here
if you want this processed throuQh your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EN)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 Pernut Issuance and will be returned for completion.
DATE OS/10/13
JOB ADDRESS 890 GREENFIELD TRL �CEIVED
OWNER JIM& PATTY LITKE MAY 13 2013 :
CONTRACTOR MCM AIR,INC.
DEPART109E\T OF
C0�1:1iU:1iTY DEVELOP.MENT
CHECK■ALL APPLICABLE iNSPECTIOV SERV(CES Dl�'ISIQ'Y
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 CHIMNEY BEING LINED ❑No �Yes -LINER S[ZE &MANUFACTURER
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
INSTALL CARRIER COMFORT 13 AC WITH FAN COIL 2 TON
VALUE(Including labor and materials) $6900.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) SECKAR
o�/o� '