HomeMy WebLinkAbout0152890 - HVAC (new system) Ci) CITY OF OSHKOSH No 152890
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 27 ALLEN AVE Owner CYPRESS HOMES INC Create Date 08/09/2012
Contractor BAY AREA SERVICES INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas U Oil ❑ Electric L Solar I Solid
System n New n Replace JI ❑ Other
1✓f Forced Air Li Radiant u Steam ✓-A/C I FiVent
[] Electric 1 Li Hot Water J Eppi. l J Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing 0 Not Applicable Value
BTU Rate • As Per Plan 0 Variable 0 Other Value
Use/Nature 'NSFR/NEW HVAC SYSTEM FOR NEW HOME **check#42023
of Work
Fees: Valu • $6,340.0 Plan Approval $0.00 Permit Fee Paid $106.00
Issued By: Date 10/10/2012
E Permit Voided Parcel Id#1516570000
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 1130 1
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OIHKOJH
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
DATE c3 b 5 CP r / o•
JOB ADDRESS a 7 G CA/ Al/
OWNER C `// f"C5 5 H el.r-7 C 5
CONTRACTOR / /9-V /9 A C/1 51R Y 1 C ',s
CHECK Ei ALL APPLICABLE
USE CATEGORY
Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ,l 'Gas ❑Electric ❑Solid SYSTEM 2lew ❑Replace
❑Oil ❑Solar ❑Oti,er
TYPE
OForced Air❑Radiant OSteam ErA/C OVent ❑Electric ❑Hot Water❑Suppl.❑Con.Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OChimney B ,'Direct Vent ❑Other
HEAT LOSS a'As Approved ❑Existing ❑Not Applicable
BTU RATE 15As Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE N6(4) I-1 G/??G 14 VA G 5 Y 5 7-6-/Y;
VALUE (Including labor and all materials including light fixtures)$ 6 i CO. 4a
ELECTRICAL CONTRACTORNG W HOME OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
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