HomeMy WebLinkAbout0156890-HVAC (a/c) �
/�'� CITY OF OSHKOSH No 156890
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 325 FOX FIRE DR Owner DALE/STEPHANIE K ZANDER Create Date 07/25/2013
Contractor MCM AIR INC Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krehn
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 iSFR\Carrier Comfort 13 3 Ton :
of Work
� —
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �'�/ _ Date 07/25/2013
❑ Permit Voided I Parcel Id#0657220000
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 � u�(`� u
1 i \..J ! 1
C3M THE VJATER
HVAC PERMITAPPLICATION
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.
()R
If vou are a contractor participating in the Permit fee Account Svstem and have adequate 1'unds check here
ir vou 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 permit application. Applications submitted without an EN when such is required,will not be
processed for Permit Issuance and will be returned for completion.
DATE 07/24/13
JoB ann�ss 325 Fox Fire ��E�EIVEI)
OWNER Dale Zander
JUL 2 5 2013
CONTRACTOR MCM Air, Inc.—920-582-4402
DEPART^1E�7 OF
CHECK■ALL APPLICABLE CO>1�iU�ITY DEVELOP11EyT
INSPECTiOV SER�'10ES Dl�'1510.'�
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 ODirect 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—3 Ton
VALUE(Including labor and materials)$2200.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Seckar Electric
o�/o�