HomeMy WebLinkAbout0127251-HVAC
G
OSHKOSH
ON THE WATER
Job Address 1120 PHEASANT CREEK DR
CITY OF OSHKOSH
No.
127251
HVAC PERMIT - APPLICATION AND RECORD
Owner CYPRESS HOMES
Create Date 08/29/2007
BAY AREA SERVICES INC
~ Gas
o New
~ Forced Air
U Electric
Chimney Type D Chimney A
Fuel
UOH
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
System
U Radiant
U Hot Water
() Chimney B
o Not Applicable
o Existing
o Variable
. Not Applicable
. Other
Value
Heat Loss
K:) As Approved
D As Per Plan
BTU Rate
Value
Use/Nature NSFR I HVAC SYSTEM FOR NEW HOME "check #36108
of Work
Fees: Valuation $6,890.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$113.50
Date 10/12/2007
D Permit Voided I
Parcel Id # 1342500300
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
2260 LARSEN RD
GREEN BAY
WI 54303 -4810 Telephone Number 920-435-7111
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
I
.~
OfHKOfH
ON THE WATER
OCT 1 2 2007
DEPARTMENT OF
COf\11'1UmTY DEVELOPfvJENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Rlill, 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
If vou are a contractor varticivatinf! in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
DATE '30C;i 0/
JOBADDRESS //-;).0 PH~A5rtNI C-A66/<'
OWNER CyPPtff'55 Ifo/YJ65
CONTRACTOR gffy /f-At-fl 515RvlCC5
CHECK 0 ALL APPLICABLE
US} tA1;'EGORY
~Single Family DDuplex o Multi-Family
DRent<:il
o Commercial
o Industrial
FUEL
@Gas
DOil
DElectric DSolid
DSolar
SYSTEM
.J2'New
o Other
DReplace
TYPE
QilForced Air DRadiant DSteam NNC DVentOElectric DRot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED tifNo DYes - LINER SIZE
Note: All chimneys shall be sized perthe BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTURATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
o Variable
l:m5irect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ;1/Gr..v 1-10/116 H VA- G
VALUE (Including labor and all materials including light fixtures) $ . 1/3. 5"0
ELECTRICAL CONTRACTOR
OR 0 Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacemeni equipment shall be done by licensed contractors.
3/02