HomeMy WebLinkAbout0157493-HVAC /�"� CITY OF OSHKOSH No 157493
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 5 ALLEN AVE Owner CYPRESS HOMES Create Date 07/24/2013
Contractor BAYAREA SERVICES INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuet ✓ Gas Oil Electric , Solar !
Solid
System � New � �✓ Replace � Other
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✓ Forced Air Radiant� Steam , �C Q Vent
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Electric Hot Water �Suppl. _ � � Con. Burner
Chimne T e
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Y YP ChimneyA � Chimney B � Direct Vent � NotApplicable
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Heat Loss � As Approved � Existing � Not Applicable J Value
BTU Rate i� As Per Plan � Variable � Other � Value _
Use/Nature NSFR/INSTALL NEW HVAC SYSTEM FOR NEW HOME **check#43238
of Work i
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Fees: Vatuation $3,985.00 Plan Approval $0.00 Permit Fee Paid $78.00
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Issued By: Date 08/30/2013
❑ Permit Voided I Parcel Id#1516580300
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
AgenUOwner
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 Inspecrion Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 ��O �
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$10U.00 plus the
nornial pernut fee,which ever is greater.
OR
I�vou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if vou want this processed through vour account n
DATE
JOB ADDRESS ,�J /4�i L��"V /�} U E
ow1vER G y��E�, 1-{U�n � 5 ; RECEIVED ��
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corr�xacTOx �3�-`/ �f�C� `'�E r-� v�G � 5 AU G 3 0 2013
CHECK H ALL APPLICABLE DEPARTME'�T OF
C0�1�i[J�iTY L�E�'ELOP�fEVT
USE CATEGORY 1VSPECTIOV SER�'ICES Dl�'1S10v :
�"ingle Family ODuplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL �as ❑Electric ❑Solid SYSTEM �1Vew ❑Replace
❑Oil ❑Solar ❑Other
TYPE •
�'orced Air ORadiant ❑Steam❑A/C DVent �Electric ❑Hot Water❑Suppl.�Con. Burner
IS CHIlVINEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIlVVINEY TYPE ❑ himney A ❑Chimney B L$birect Vent ❑Other
HEAT LOSS �s Approved ❑Existing �Not Applicable
BTU RATE �'As Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE /v 6 �-✓ I� G i�'7�` N �°� C-
VALUE(Including labor and all materials including light fiztures) $ �, y � �• �''�'
ELECTRICAL CONTRACTOR/V�w l��rn l� OR ❑ Electric Installation Verification form attached(IfReplacenxnt)
Electrical installation of new/replacement equipment shal!be done by licensed contractors.
3/oz