HomeMy WebLinkAbout0151733 - HVAC (new home) C.) CITY OF OSHKOSH No 151733
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1010 BAUMAN ST Owner TERRY UDIANE M SCHROEDER Create Date 08/08/2012
Category Contractor BAY AREA SERVICES INC 9 rY 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel
✓ Gas n Oil 1 Li Electric U Solar 1 Solid
System Q New
Replace 7 Other
u Forced Air
Radiant J Lj Steam I Lij NC 1 Li Vent
U Electric 1 Li Hot Water ] n Suppl. Li Con.Burner 1
Chimney Type Q Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing
Not Applicable 11 Value
BTU Rate • As Per Plan 0 Variable 0 Other I Value
Use/Nature NSFR(LATE PERMIT)/INSTALL NEW HVAC SYSTEM FOR NEW HOME **check#41852
of Work
Fees: Valuation $17,010.00 Plan Approval _ $0.00 Permit Fee Paid $231.00
���'�' �_ _ 1 Date 08/15/2012
Issued By: � � LA-)
El Permit Voided I Parcel Id#1608680400
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.
Date
Signature
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 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Oil KOJI
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 (-(
DATE 3 /9(.6- / o4
JOB ADDRESS f 0 (0 &A V/f')/9 N T.
OWNER ('->'PRE 55 b-/G 11 e S
CONTRACTOR r3/9V /4-R E.? 5 6-/Q ('(C ti 5
CHECK H ALL APPLICABLE
USE CATEGORY
Mingle Family ❑Duplex ❑Multi-Family [Mental ❑Commercial ❑Industrial
FUEL ptas ❑Electric ❑Solid SYSTEM 4ew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
JForced Air ❑Radiant ❑Steam IaA/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 ®birect Vent ❑Other
HEAT LOSS As Approved ❑Existing ONot Applicable
BTU RATE IRAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE N&tu l'/OM C N lr,9 G
VALUE (Including labor and all materials including light fixtures) $ 171 Cl(0. o-ei
ELECTRICAL CONTRACTOR /V EW (1 00)167 OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02
WARD: P. DATE: r,2
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LOCATION: /G/p 4214 gnu
WORK DONE: �y/a,L�F /f',z ']` r dam-- TAP
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SIZE: /72_
CONTRACTOR:
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INV#: QTY: PARTS:
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PERMIT#: a v
BLACKDIRT: YES 0
CONCRETE: YES O.)
DETAILS: -
GRAVEL: /) U WORKERS: /JJ. /�
REMARKS:
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