HomeMy WebLinkAbout0158206-HVAC (furnace & a/c) � CITY OF OSHKOSH No 15s2os
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1009 BONG CT Owner LARRY M/KAREN DOBBERSTEIN Create Date 10/11/2013
Contractor BAY AREA SERVICES INC _ Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓Q Gas _ ' Oil Electric Solar � Solid _j
System � New I �✓ Replace � Other _� '
✓ Forced Air �' Radiant Steam ✓ A/C � Vent �
Electric Hot Water Suppl. Con. Burner I
Chimney Type � �h y � Chimney B � Direct Vent � Not Applicable �
Heat Loss �As Approved 0 Existing � Not Applicable � Value _
BTU Rate As Per Plan � Variable � Other ' Value
Use/Nature SFR/replace furnace and A/C
of Work
"ck#43415'*
, �I
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Fees: Valuation $7,945.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: �1�.. Date 10l11/2013
❑ Permit Voided '� Parcel Id#1109310000
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 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. .
Ciry of Oshkosh
Division of Inspection Services �
P.O.Box 1130
Oshkosh,WI 54903-1130 `
Phone(920)236-5050
Fax (920)236-5084 O.lHKOlH
ON THE 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. s
OR �.
1f vou are a contractor narticiDatinQ in the Permit {ee Account Svstem and have adeauate funds check here
tf vou want thts processed throu�vour account n
DATE �a s E� r r 3
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CONTRACTOR i�� � � ��C�� ��I� V 1 G C`S
CHECK E(ALL APPLICABLE
USE CATEGORY
�Single Family �Duplex �Multi-�amily ❑Rental ❑Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �2eplace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ORadiant �Steam �A/C ❑Vent �Electric ❑Hot Water�Suppl.00on.Burner
IS CI�IlVINEY BEING LINED ❑No �es -LINER SIZE 3 �� &MANLJFACTiJRER }'L�X� `L I N�-l�(
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 �'V'Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE I���L�� � F��/�-'`V� C E �- � C,
VALUE (Including labor and all materials including light fixtures) $ �� G �� ��
ELECTRICAL CONTRACTOR/�C7 la,v �(.�:C T_ OR ❑ Electric Installation Verification form attached(If Replacemen[)
Electrical instnllntion of new/repincement equipment shall 6e done by licensed contrnctors.
3/02