HomeMy WebLinkAbout2013-HVAC (a/c) � CITY OF OSHKOSH No 156997
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 411 N MAIN ST Owner JEFFREY L PYFER Create Date 07/31/2013
Contractor MCM AIR INC Category 511 -Ind.&Comm-Air Conditioning Plan :
Inspector John Zarate
Fuel Gas j Oil � Electric Solar �
Solid
System � New __� � Replace ; � Other �
Forced Air Radiant Steam A/C VeM .
Electric � Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable�
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate � As Per Plan 0 Variable � Other I Value
Use/Nature COMM/replace A/C
of Work
'*ck#23709�'
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Fees: Valuation $2,400.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: �1�, Date 07/31/2013
❑ Permit Voided � Parcel Id#0700010300
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 � �--���
QN THE WATER
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 vou are a contractor participating in the Permit fee Account Svstem and have adeguate funds, check here
if you want this processed throuQh vour 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 07/30/13
JOB ADDRESS 411 N. Main St. RECEIVED
OWNER Satori Imports
CONTRACTOR MCM Air,Inc.—920-582-4402 JUL 312013
DEPART�tE1T OF
CHECK■ALL APPLICABLE C0�1�iUVi7'Y DEVELOPIIEVT
IVSPEC"f10`SERVICES Dl�'1SIOV
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 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
Replace existing A/C with Carrier Comfort 13—3 Ton
VALUE(Including labor and materials) $2400.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Seckar Electric
o�/o�