HomeMy WebLinkAbout0124430-HVAC (ductwork)
o
OSHKOSH
ON THE WATER
Job Address 1110 W 19TH AVE
CITY OF OSHKOSH
No
124430
HVAC PERMIT -APPLICATION AND RECORD
Owner MARK E/THERESA BOETTCHER
Create Date 04/26/2007
Contractor MCM AIR INC
Fuel U Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
e) Direct Vent
I Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature iSFR / BASEMENT DUCTWORK AND BATH FAN VENTING
of Work '
Fees: Valuation. $975.00
Issued By: 3YY\W
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 04/26/2007
o Permit Voided I
Parcelld # 1311610000
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
Agent/Owner
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, Wl ~4903~1130
Pbone(920) 236-5050
Fu(92d) 136-5084
RE~~~YED ~
DEPARTMENT OF ~
COMMUNITY DEVELOPMENT
. _IHSf>~crlON SE'RVftES DIVISION. N H \II" I
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will Dot be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 ormailcd to Inspection Services. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or S 1 00.00 pl~
nonnal permit fee, which ever is greater. .
OR
~~ ~:~ '::oen~ t~~;t;~:;:;s:~r:~~~ua~i":o~r t::e~=~,tHu ,UColmt System and have adeauate funds check J
ttll3 '0 7
DATE
JOB ADDRESS \ \ \ 0 W . \ q tln JL-\\)1::-
OWNER MAe \L BOf nQ\+E r2-
CONTRACfOR MQ1 AIR, INC. 6122 COUNTY ROAD H, WINNECQNNE, WI 54986
~~l-4402 FAX 582-0136
CHECK~AL~ APPLICABLE
. .. ",' ,
, .)-
USE CATEGORY
~Single Family ODuplex OMulti-Family
ORental
OCommercial
DIndustrial
.'
FUEL
OGas
oOil
OElectric OSolid
OSolar
SYSTEM
CJNew .' . DReplace
~Other D\)C\ WOY' \L
TYPE. .
OForced Air ORadiant OSteam ONC OVent OElectric DHotWater OSupp1.0Con. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note:: All chimneys shall be sized per.the BTU's beinl vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
DAs Approved
oAs Per Plan
OChillUlcy B
OExisting
DVariable
ODirect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE bALjE. H.ttJT Wc\" ~O\2-~ --
~\H rAN \lblVTlfJ&
VALUE (Inc1udinl: labor and aU materials'lDtludlDC llCht fixtures) S q l5 CJt2J
, ELECfRICAL CONTRACfOR
QB. 0 Electric InstallatloD VerificatlOD form attacbed(lf Replaccn
El<<trlcGJ UulGlItJlioII ofMWIrqH~ ~ sJuUl ~ 110M l1y I~a