HomeMy WebLinkAbout0156888-HVAC (a/c) � CITY OF OSHKOSH No 15ssss
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3470 EICHSTADT RD Owner ERIC C/KALINA NOU VANG XIONG Create Date 07/25/2013
Contractor MCM AIR INC Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuei ✓ Gas Oil � Electric Solar Solid
System � New J �✓ 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 Applicable
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate p As Per Plan � Variable � Other —� Value _
Use/Nature �SFW replace A/C --�,
of Work �
�*ck#23698" ,
i
,
_ — i
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ��, Date 07/25/2013
� Permit Voided I Parcel Id#1250172300
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
AgenbOwner
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 � �--��� N
QN THE Wt�Tt'R
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 ar$100.00 plus the
normal permit fee,which ever is greater.
OR
lf you are a contractor particpating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this processed throuQh your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Elecdrical
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.
DATE 07/22/13
JOB ADDRESS 3470 Eichstadt
OWNER Eric Xiong
CONTRACTOR MCM Air,Inc.—920-582-4402
CHECK■ALL APPLICABLE
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 AC with Carrier Comfort 13 2 Ton 24abb324
VALUE(Induding labor and materials) $ 1800.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Seckar
o�/o�