HomeMy WebLinkAbout2014-HVAC (furnace) ;
� CITY OF OSHKOSH No 159861
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1416 WALNUT ST Owner TIMOTHY J BERNIER Create Date 03/21/2014
Contractor MCM AIR INC _ Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric__� Solar I Solid I
System ❑ New I �✓ Replace '� � Other
✓ Forced Air Radiant Steam A/C ! Vent
Electric Hot Water SuppL � Con. Burner
Chimney Type ChimneyA 0 Chimney 6 � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value 80,000
Use/Nature FR/REPLACE EXISTING FURNACE '*check#23918
of Work
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Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �1(�.J Date 03/21/2014
❑ Permit Voided I Parcel Id#1205430000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. i
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
FaY (920)236-5084
ON H W�1 F
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 ar 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
�you are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throuQh vour account n €
E
**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. ,
DATE 03/20/14 �
JOB ADDRESS 1416 Walnut St. ��i ��i ��1'�i�;
OWNER Marv Bernier
CONTRACTOR MCM Air,Inc.—920-582-4402 MAR 21 2014
vePwxr�a�°��r��
CHECK�ALL APPLICABLE CO�i�fUti1TY DEi'El.OP'.11E '- ,
INSPECTIOti SERViCES DR'E::•8�:�
USE CATEGORY
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FiTEL ■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 3" &MANiJFACTURER Fle�,Liner
. 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 furnace with Carrier 2 Stage Performance 59tp080 80,000 BTU's
VALUE(Including labor and materials) $3400.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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