HomeMy WebLinkAbout0152252 - HVAC replace AC el) CITY OF OSHKOSH No 152252
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 815 W 10TH AVE Owner HAROLD A BEYER
— - Create Date 09/11/2012
Contractor BOUCHER'S HEATING AND COOLING IN Category 501 -Residential-Air Conditioning
-- — Plan
Inspector Nicole Krahn ---
Fuel Las ] LOil _ 1 Li Electric ❑ Solar _ Solid
System New 0 Replace
__ — — ❑ Other J
Forced Air
� -] ❑ Radiant ❑ Steam Q NC i Elec ❑ Vent
tric �
_ ❑ Hot Water ❑ I I Suppl. Li-Con. Burner i
Chimney Type C-himn e y A- --
0 Chimne B 0 Direct Vent • Not Applicable
]
Heat Loss iJ As Approved Existin
� 9 • Not Applicable Value
BTU Rate 0 As Per Plan O Variable Other
� Value
Use/Nature DUPLEX(UPPER)/REPLACE 1.5 TON NC **check#24946 --of Work
L _
Fees: Valuation $1 895.00 Plan Approval $0.00 J
Permit Fee Paid $38.43
Issued By: ( -n - "
Date 09/11/2012
❑ Permit Voided I Parcel Id#1302720000
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 724 W FRANCES ST — APPLETON WI 54914 -2364 Telephone Number 920-734-8672
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.
•ll Il 11Vl 11naLIV11 al u,1 uulu ,,nit-vl...r.. .....-. —
City of Oshkosh
Division of Inspection Services
P.O.Box WI 1130 5 1
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
Q -1KOH
HVAC PERMIT APPLICATION ON r�,F JA,FR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor sartici•atinf in the Permit ee Account S stem and have adesuate unds check here
i ou want this processed through our account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, w' 1 not be
processed for Permit Issuance and will be returned for completion.
DATE `9!
JOB ADDRES %I 4=z; 1 , i.
OWNER a d •�
CONTRACTOR 1, c -+C
CHECK 0 ALL APPLICABLE
�
SE CATEGORY
ingle Family Duplex ❑Multi-Family ❑Re
Y Rental ❑Commercial ❑Industrial
FUEL ❑Gas DElectric ❑Solid
❑Oil ❑Solar SYSTEM ❑New XReplace
❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam /C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED❑No ❑Yes - LINER SIZE
Note:All chimneys shall be sized per the BTU's being vented. &MANUFACTURER
CHIMNEY TYPE ❑Chimney A OChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existin
BTU RATE DAs Per Plan g ❑Not r Value
❑Variable ❑Other Value
DESCRIPTI•N/S OPE OF ALL WORK BEING D•NE VALUE(Including labor and materials)$ I P9,-) nU
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
A
ge li/'g 07/07