HomeMy WebLinkAbout2013-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156747
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 831 RIDGE LN Owner ALLEN E BIETTLER JR Create Date 07/17/2013
Contractor MCM AIR INC __ Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar i Solid
System ❑ New � �✓ Replace I � Other �
✓ Forced Air � Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner ,
Chimney Type Chimney A � Chimney B � Direct Vent � Not App�icable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR\Replace furnace and AC unit
of Work
`
Fees: Valuation 5,100.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: Date 07/17/2013
❑ Permit Voided I Parcel Id#1519621800
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.
7/1fi✓13 Cityof Oshimsh-Inspection SerHCes DiHSion-HVAC Permit Application �
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5050 REC���I i D
JUL 17 2013
HVAC PERMIT APPLICATION
llEP;�NT;11E\T OF
C��7�i��ITY DE�'ELOP�tEVT
All information with * next to it must be provided. Incomplete applications wil����°�'���s�ov
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.
If vou are a contractor participating in the Permit Fee Account Svstem and have adeauate funds,
tvae YES if you want this processed throuqh your account .
** 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.
__._ __ _ _ _ _
831 RIDGE LANE
*]OB ADDRESS :.. . . _-�_ . . . . ._. .. __ � � . . .,..._ _._._... .__ ._�.... . __ . _ _.__._._ _.�:
.,�._�_._._.
ALLEN & LOTTE BIETTLER '
*OWNER : . .... _ ,�._..... _ . . __ � _ _.._ _ __ ___ _ __ _ .._ ..._._._
_ _.. _ _ _ __.. _ ___
*CO NTRACTO R MCM AIR, INC.
*USE CATEGORY
��!-t Single Family �'�:# Duplex £;_.�E Multi-Family `��' Rental �.�.:3 Commercial 3:�:' Industrial
FUEL
l�Gas �Electric U Solid �l Oil ❑Solar
*SYSTEM
��:� New !�!! Replace ��.�-� Other
TYPE
{�'�Forced Air �Radiant �Steam �A/C �Vent �Electric :�Hot Water L!Suppl. �Con. Burner
*IS CHIMNEY BEING LINED
�.�!Yes `�? No
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7/1fi/13 CityofOshlaosh-InspectionSerHCes Di�ision-HVAC PermitApplication
I - Liner Size Manufacturer. ' I
CHIMNEY TYPE
�:�� Chimney A 3�r' Chimney B �€ Direct Vent '<�'' Other
HEAT LOSS
�-�'As Approved ',.�� Existing '_.' Not Applicable
BTU RATE
_:' As Per Plan ��='Variable
Other: {
*DESCRIPTION OF ALL WORK BEING DONE
=REPLACE EXISTING FURNACE AND AC WITH CARRIER 59TP5A 60, 000 BTU'S FURNACE:
'AND CARRIER 24ABB324 2 TON AC
E
�:
*VALUE (Including labor and all materials including light fixtures)
`5100.0�
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
SECKAR
Submit Reset
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