HomeMy WebLinkAbout0155128 - HVAC (AC) l CITY OF OSHKOSH No 155128
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1632 THORNTON DR Owner MATTHEW P BROWN Create Date 04/18/2013
Contractor BAY AREA SERVICES INC _ - Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel FT-Gas ❑ oil I✓J Electric I j Solar Solid
System ❑ New 1 Q Replace J ❑ Other J
Forced Air ❑—Radiant ❑ Steam A/C 1 ❑ Vent
Electric J ❑—Hot Water I ] Suppl. Con. Burner
Chimney Type '0 ChimneyA O
Chimney B
Chimne 0 Direct Vent • Not Applicable
Heat Loss p As Approved O Existing • Not Applicable Value
BTU Rate As Per Plan O Variable • Other J Value
Use/Nature SFR/REPLACE A/C,ELECTRICIAN IS ACTION ELECTRIC **check#42718
of Work
Fees: Valuation $3,130.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: Date 04/18/2013
❑ Permit Voided I Parcel Id#1317580000
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.
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City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinz in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
DATE 1 /�� / 3
JOB ADDRESS 12 ? ( T 1`lO rep A/ d.)f i V C
OWNER A1 7 R L1✓./t/
CONTRACTOR en- V/ C 6
CHECK H ALL APPLICABLE
USE CATEGORY
[mingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas llectric ❑Solid SYSTEM ONew keplace
❑Oil ❑Solar DOther
TYPE
❑Forced Air ❑Radiant ❑Steam tafAic ❑Vent DElectric ❑Hot Water ❑Suppl.DCon. Burner
IS CHIMNEY BEING LINED l$'No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
• BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION OF ALL WORK BEING DONE fi P(- C L /9.lc,
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR/ICT/04/ 5LtC. OR ❑ Electric Installation Verification form attached(lf Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
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