HomeMy WebLinkAbout0156479-HVAC (a/c) � CITY OF OSHKOSH No 156479
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 19 21 WAUGOO AVE Owner SANDRA L PRUNTY Create Date 07/01/2013
Contractor NAU HEATING AND COOLING LLC Category 511 -Ind.8�Comm-Air Conditioning Plan
Inspector John Zarate
Fuel Gas Oil Electric Solar Solid j
System � New � 0 Replace _� � Other I ;
Forced Air Radiant Steam� ✓ A/C Vent i
Electric Hot Water Suppl. Con. Bumer I
Chimney Type i Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature COMM/replace rooftop A/C unit
of Work ;
**ck#1884'* �
Fees: Valuation $10,750.00 Plan Approval $0.00 Permit Fee Paid $184.00
Issued By: ��'� Date 07/01/2013
� Permit Voided I Parcel Id#0200150000
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 a plication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to sec ny ne sary approva efore starting such activity.
Signature (�— Date � �.3
AgenUOwner
Address 1420 PHEASANT CREEK DR OSHKOSH WI 54904 -7452 Telephone Number (920)231-6363
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 Osl�kosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fa�c (920)236-5084 O.IHK01H :
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 vou are a contractor narticipating in the Permit fee Account Svstem and have adeauate /'unds check here
if vou want this nrocessed throu�h vour account �I
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be returned for completion.
DATE �����3
JOB ADDRESS �G G^°l �� G.��' - � �"C
OWNER S�*n G/ I��/� �
CONTRACTOR �l�G-`�'� r��.r� CC��.•t.
�
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
� �
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam . �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED�10 ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing �Not Applicable
BTU RATE ❑As Per Plan ❑Variabie �Other Value
DESC PTION/SCOPE OF ALL WORK BEING DONE_�e,0%F2 ��01� 1���for U'✓i`�
���� !/I et� S-�b� rz��'-foa U!�I7�
VALUE(Including labor and materials)� ���
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �/ V//���
o�/o�