HomeMy WebLinkAbout0157902-HVAC (furnace & a/c) � CITY OF OSHKOSH No 157902
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 337 W 9TH AVE Owner JAMES/OLIVIA THOMPSON Create Date 09/24/2013
Contractor BAY AREA SERVICES INC _ Category 502-Residential-Both Plan
Inspector Nicole Krahn :
Fuel ✓ Gas _� Oil � Electric Solar —� Solid
System � New � �✓ Replace I � Other j
✓ Forced Air � Radiant Steam � ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
HeatLoss i AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE FURNACE AND ADD A/C, ELECTRICIAN IS ACTION ELECTRIC *'check#43347 1
of Work I I
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Fees: Valuation $7,005.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: (�'Yl� Date 09/24/2013
❑ Permit Voided � Parcel Id#0903240000
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
Fax (920)236-5084 � HKOlH
ON 7HE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicarions 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
IfYOU are a contractor Darticipatin,e in the Permit fee Account Svstem and have adeouate funds check here
ifvou want this processed through Your account n
DATE � 6 � �p r r 3
JOB ADDRESS 3 3 � w, q�� � r��E�T �E�EIVED
owlvER ���E5 �l�`a;�'► l� 5o�ti
CONTRACTOR ����/ /����� � �t��' v�G t, SEP 2 3 2013
CHECK H ALL APPLICABLE co�Taiu t'fY DE Ei OP:NENT
INSPECTI�V S�:;1'ICES Dl\'IS10V
USE CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Zeplace
❑Oil . �Solar ❑Other
TYPE
�Forced Air �Radiant OSteam�A/C ❑Vent ❑Electric ❑Hot Water �Suppl.�Con.Burner
IS CHIlVVINEY BEING LINED�No ❑Yes -LINER SIZE &MAN[JFACTURER
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 l�Existing ❑Not Applicable
• BT'LJ RATE ❑As Per Plan �Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE f� �'��� � G F vl�✓��'�9 G E �/�j,�l.� /�-G
VALUE (Including labor and all materials including light fixtures) $ 7, G G � C�
ELECTRICAL CONTRACTOR��`�G'U ��GTl1/G OR ❑ Electric Instaltation Verification form attached(1f Replacem�t)
Electrical installation of new/replacement equipmexr sh�l(be done by licensed contrnctors.
s/o2