HomeMy WebLinkAbout0151615 - HVAC (remodel basement) 0 CITY OF OSHKOSH No 151615
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 103 ALLEN AVE Owner CYPRESS HOMES INC Create Date 08/07/2012
Contractor BAY AREA SERVICES INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel Gas Oil ] I Electric ] Solar ❑Solid
System ❑ New n Replace 7] Other
Li Forced Air LI Radiant ] H] Steam j A/C ❑Vent
Electric Li Hot Water ] n Suppi. Li Con. Burner
Chimney Type Q Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss ❑ As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature SFR/Remodeling the basement to include a rec room area and add A/C. All construction shall comply with local and state building
of Work code requirements. "check#16333
Fees: Valuation $2, .00 Plan Approval $0.00 Permit Fee Paid $49.00
Issued By: Date 08/09/2012
❑ Permit Voided I Parcel Id#1516560000
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.
FROM :BAY AREA SERVICE FAX NO. :9204352444 Aug. 09 2012 10: 19AM P2
City of Oshkosh
Division of Inspection Services
P.O.Box 1130 •
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of--KO/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 7
DATE
JOB ADDRESS 1 0 3 /4 L L A, A-v 6
OWNER G.YPREti5 Ha 41 ES
CONTRACTOR (3 14-`/ /11:k e S ER WC-C5 -
CHECK 0 ALL APPLICABLE •
USE CATEGORY •
Single Family ❑Duplex OMulti-Family ORental ❑Commercial OIndustrial
• FUEL ❑Gas ❑Electric ❑Solid SYSTEM :New 1JReplace
❑Oil . Molar .€"Other tow
ve5R 'LEv6L
TYPE
• ❑Forced Air❑Radiant ❑Steam WA/C ❑Vent ❑Electric ❑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 ❑Chimney A ❑Chimney B ODirect Vent • ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value •
•
DESCRIPTION OF ALL WORK BEING DONE F(Nish` L-6)w�R 1.-61/6G ADO ,G
•
VALUE (Including labor and all materials including light fixtures) S off 5 G-0-0 •
ELECTRICAL CONTRACTOR TEAM 61-6-C-rPILOR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
•
Received Time Aug. 9. 2012 10: 37AM No. 0381 .
3/02
•r
QOM :BAY AREA SERVICE FAX NO. :9204352444 Aug. 09 2012 10:19AM P1
•
Bay Area Services, Inc. jz µ ;s i�,,.r
1801 yelp Avenue '�"; u :.` I, �� =`i #, i ,;...
Green Bay, I 54303 ':i`` •,,�1, '; '"
y 'aa _. '���,
Green Bay Area (920)435-7111 �'�` .r�_.•. +;l
Fox Valley Area (920) 738-7111 ,, '';
Fax(920)435-2444
Heating & Cooling
www,bavareaservice.com
Fax
To: Oshkosh Inspection Dept. From: Jack B .
Fax: 1-920-236-5084 Pages: 1
Phone: 1-920-236-5050 Date: 8/9/2012
Re: HVACC 1030Allen St CC:
x Urgent 0 For Review ❑ Please Comment 0 Please Reply ❑ Please Recycle
• Comments:
Good Morning
I have on the following page a HVAC permit Application The fee comes to$49.00 the contractor will be
making payment today
Thank you please call with any questions/comments
Jack Beaulieu 1-920-435-7111
Received Time Aug. 9. 2012 10: 37AM No. 0381