HomeMy WebLinkAbout0104756 HOSHKOSH
ON THE WATER
.lob Address 166 W 24TH AVE
Contractor MCM AIR INC
Fuel ~ Gas
System ~ New
~ Forced Air
~ Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner SUSAN A Y ENGLE/SHIRLEY A TERR
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Radiant
Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104756
09/23/2003
Other
Vent J
Use/Nature SFR/Install ductwork in association with remodeling the basement to create a family room, bathroom, bedroom, and furnace room.
of Work
Fees: Valuation
Issued By:
$600.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 10/13/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 6122 COUNTY ROAD M WINNECONNE WI 54986 -9780 Telephone Number
(920) 582-4402
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1 I~0
OsMcosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
· Ap~icati~n(s)andfe~(s)~anb~br~ughtt~Ci~yHal~Ronm2~5~rrm~l~dt~In~pee~onS~rvi~e%P~B~x~2$~
Oshkosh WI 54903-1128. Commencing work without permit(s) will remalt in fee~ being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf vou are a contractor vartictnatin~ in the Permit fee Account System and have adeauate fun~, Chcqk here
if YOU want this vrocessed through your account ~l
DATE 10-<~ -C) ~
CONfHACTOR MCM AIR, INC. 6122 COUNTY RD M, WINNECONNE, WI 54986
582-4402 FAX 582-0136
CHECK [] ALL APPLICABLE
USE CATEGORY
~.,~Single Family ~Duplex nMulfi-Family nRental I-]Comm~*i~l [-I]ndu.$trial
FUEL EElectric ClSolid SYSTEM E]New CIReplaen
ESolar F~
TYPE
E]Forced Air ERadiant E]Stearn nAJC U1Vent I-1Eleetfic rlHot Water r'lSuppl. EiCon. Burner
IS CHI/VI/NEY BEING LINED ENo EIYes - LINER SIZE.
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
EiChimney A
E]As Approved
nAs Per Plan
EiChimney B
EiExisting '
EiVariable
EiDirect Vent
EiNot Applieablc
EiOther Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials Including Ught f~'~m'~) $ ~ o o ~ ~G ~ o
ELECTRICAL CONTRACTOR
S For applicable projects, an Electric Installation Verification form, signed by the Elee~cal Con~ractor, must be
attached. If not attached or not applicable, a separate Elec~ical Permit is required.
9/02