HomeMy WebLinkAbout0155091 - HVAC 0 CITY OF OSHKOSH No 155091
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2120 VINLAND ST Owner RENAE D RELJIC Create Date 04/17/2013
Contractor MCM AIR INC - Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Gas
J Oil i Electric Li Solar Q Solid
Y n Replace 'fir]✓ Other
LiSystem New Re lace
Forced Air ❑ Radiant Steam A/C Vent
Electric ❑ Hot Water n Suppl. 1i Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss As Approved 0 Existing • Not Applicable I Value
BTU Rate As Per Plan 0 Variable • Other Value
Use/Nature SFR/INSTALL AND MODIFY DUCTWORK IN LOWER LEVEL **check#23573
of Work
Fees: Valuation ' . $650.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: 5)/Y)1,—) Date 04/17/2013
❑ Permit Voided I Parcel Id#1218200000
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
Oshkosh, WI WI 54903-1130
]30
Phone(920)236-5050
Fax (920)236-5084 ) HItt...1IH
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 Flail, 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
Ifyou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
**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 04/15/13
JOB ADDRESS 2120 Vinland St.
OWNER Renae Reliic
CONTRACTOR MCM Air, Inc.
CHECK•ALL APPLICABLE
USE CATEGORY
■Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas 0 Electric 0 Solid SYSTEM ❑New ❑Replace
DOil OSolar ■Other ductwork only
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent DElectric ❑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 OChimney A OChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE OAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
Install and modify ductwork in lower level
VALUE(Including labor and materials) $650.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07