HomeMy WebLinkAbout0155007 - HVAC (new home) CITY OF OSHKOSH No 155007
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 15 ALLEN AVE Owner CYPRESS HOMES INC Create Date 03/12/2013
Contractor BAY AREA SERVICES INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas J U Oil Electric _ Lolar Solid_
System 0 New La Replace n Other
✓ Forced Air j H Radiant Steam LJ A/C Ei Vent
Electric Li Hot Water ' QSuppl. H Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss 0 As Approved 0 Existing O Not Applicable Value
BTU Rate As Per Plan O Variable 0 Other Value
Use/Nature 'NSFR/NEW HVAC SYSTEM FOR NEW HOME **check#42692,42708
of Work
III
Fees: Valuation $3,985.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: Date 04/11/2013
El Permit Voided Parcel Id#1516580100
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.
3/02
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 O.IHKOlH
Fax (920)236-5084
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
DATE
JOB ADDRESS I S /41-1- N A U E.
OWNER G`/P 5 0'77 C
CONTRACTOR ! / `/ /`-/'7 E i '3 6 V 1 C 5
CHECK H ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL . Gas DElectric ❑Solid SYSTEM at 4ew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
arorced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water❑Suppl.❑Con.Burner
IS CHIMNEY BEING LINED kiIfslo ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ENDirect Vent ❑Other
HEAT LOSS BAs Approved ❑Existing ❑Not Applicable
BTU RATE As Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE Al b w (4 or H v/
VALUE (Including labor and all materials including light fixtures)$
� Ur d
ELECTRICAL CONTRACTOR/i/& W ('107)')& OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02