HomeMy WebLinkAbout0142742-HVAC (a/c) I, CITY OF OSHKOSH No 142742
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1711 PUNHOQUA ST Owner ROBERT F /KAREN F HARTLEY III Create Date 08/24/2010
Contractor BAY AREA SERVICES INC Category 501 - Residential -Air Conditioning Plan
Fuel 0 Gas ill Oil Q Electric ❑ Solar El Solid
System Q New 0 Replace 0 Other
Forced Air 111 Radiant 0 Steam Q NC Vent
Jj Electric El Hot Water 0 Suppl. 1 0 Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / REPLACE NC (any wiring will be done by the owners own electrician) * *check #39518
of Work
Fees: Valuation $2,470.00 Plan Approval $0.00 Permit Fee Paid $47.50
Issued By: Date 08/24/2010
E] Permit Voided l Parcel Id # 1601310000
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 1801 VELP AVE GREEN BAY WI 54303 - 6447 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 •
Oshkosh, WI WI 5 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 O.JHKOJ H
ON THE WATER
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 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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
DATE
JOB ADDRESS 17 / f ' Pu'v 11Q (ji Vi
OWNER ROB
f3
CONTRACTOR 84-v /lj RC/1 5 b R V/C 6 5
CHECK H ALL APPLICABLE
USA CATEGORY
®'Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas aBlectric El Solid SYSTEM ❑New ®'Replace
DOil ❑Solar DOther
TYPE
Mforced Air ❑Radiant ❑Steam erA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED Z`No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE TA/6 74- LC A/
VALUE (Including labor and all materials including light fixtures) $ / y 70 GI,
ELECTRICAL CONTRACTOR OWi4R 1t7 PR bt' R ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
3/02