HomeMy WebLinkAbout0155979-HVAC (a/c) � CITY OF OSHKOSH No 155979
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1021 MASON ST Owner MR/MRS JAMES B DUNGAR Create Date 06/04/2013
Contractor MCM AIR INC Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel Gas Oil Electric Solar Solid
System � New J � Replace I � Other I
✓ Forced Air Radiant Steam ✓ A/C � Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR\New AC
of Work
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $126.00
Issued By: �L� Date 06/04/2013
❑ Permit Voided � Parcel Id#1307600200
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,W154903-1130
Phone(920)236-5050
Fax (920)236-5084 HK �1
ON THF WATFR
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
Irvou are a contractor participatin� in the Permit fee Account Svstem and have adequate funds check here
i1'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 permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for compledon.
DATE OS/31/13
JOB ADDRESS 1021 Mason St.
�t��IEI�'ED
OWNER Jim Dun�ar '
CONTRACTOR MCM Air.in�. �UN 0 4 2013
CHECK■ALL APPLICABLE DEa�a�����'�7�F
C0�4rtUNITY UE'+''i!�OP�tEVT
USE CATEGORY INSPECTiON SERVTCES DI�'1S10N
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FiJEL ❑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 DYes -LINER SIZE &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 NEW A/C W/FAN COIL CARRIER COMFORT 13 2 TON :
VALUE (Including labor and materials) $6800.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) SECKAR
o�/o�