HomeMy WebLinkAbout0157096-HVAC /L"� CITY OF OSHKOSH No 157096
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2100 HICKORY CT Owner JEREMY/HEIDI THOMAS Create Date 07/08/2013
Contractor MCM AIR INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas ; Oil Electric �
Solar Solid
System �✓ New I � Replace I � Other j
✓ Forced Air � Radiant Steam �A/C ! ✓ Vent
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 � Variable � Other Value
Use/Nature 'NSFR/New single family home'2 story,3 car attached garage,2 screen porches and patio. Driveway shown on site plan as 24'wide. '
of Work
"*ck#23719*'
i
� :
Fees: Valuation $14,900.00 Plan Approval $0.00 Permit Fee Paid $224.00
Issued By: ��Nl Date 08/07/2013
❑ Permit Voided I Parcel Id#
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 fro,m 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 � H�) 1
C3t1 THE 4JATER
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
Ifvou are a contractor participatin� in !he Permit fee Account S��tem and have adeguate funds check here
�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(far 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.
DATE 08/OS/13
JOB ADDRESS 2100 Hickorv&�e CT� RECIEIVED
OWNER Jeremy Thomas AUG 0 6 Z013
CONTRACTOR MCM Air,Inc.—920-582-4402
DEPART:11E17 OF
C0�7�tUVITY DEVELOP1fEVT
CHECK■ALL APPLICABLE INSPECTiOY SER�'TCES DI�'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
Install Carrier Comfort furnace 100,000 BTU's and Carrier Comfort 13 AC 5 Ton New Construction :
VALUE (Including labor and materials) $ l 4900.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Seckar
o�/o�