HomeMy WebLinkAbout0154568 - HVAC 0 CITY OF OSHKOSH No 154568
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 11 ALLEN AVE Owner CYPRESS HOMES INC Create Date 02/01/2013
Contractor BAY AREA SERVICES INC Category 500-Residential-Heating&Ventilating Plan _
Inspector John Zarate
Fuel ✓j Gas _ [foil aElectric Uolar 1 Solid 1
System El.New E Replace J E Other
forced Air Radiant
Steam �C J Vent
Q Electric U Hot Water J U Suppl. J H Con. Burner 1
Chimney Type 0-ChimneyA O Chimney B • Direct Vent O Not Applicable
J
Heat Loss le As Approved O Existing 0 Not Applicable Value _
BTU Rate • As Per Plan O Variable 0 Other
Value
Use/Nature NSFR/NEW HVAC SYSTEM FOR NEW HOME **check#42543,42555
of Work
Fees: Valuations $3,985.00 Plan Approval $0.00 Permit Fee Paid $78.00
'J
Issued By: ' ' ' l
Date 02/27/2013
E] Permit Voided I Parcel Id#1516580200
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 VELPAVE 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 OJHKQJH
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 (l
DATE / 3 !-E 1 / 3
JOB ADDRESS 1 1 A-L 1-E t% /4 L/6.
OWNER C y P1 j S I 1Crn 6.5
CONTRACTOR &/ /' /4/---C,"3 C&v i c 5
CHECK H ALL APPLICABLE
USE CATEGORY
tigSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ( Gas DElectric ❑Solid SYSTEM 21New DReplace
❑Oil ❑Solar ❑Other
TYPE
.IFForced Air ['Radiant ❑Steam DA/C ['Vent DElectric ❑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 OChimney B birect Vent ❑Other
HEAT LOSS EAs Approved ['Existing DNot Applicable
BTU RATE EgAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE NE(QS' H yrr H t/4 6 V r 7 C-r�t.j
VALUE (Including labor and all materials including light fixtures) $ 3 j I 0 tl . c-c'
ELECTRICAL CONTRACTOR/1/U U/ I'/OM b OR 0 Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02