HomeMy WebLinkAbout0159151-HVAC (furnace & a/c) � CITY OF OSHKOSH No 159151
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2316 MOUNT VERNON ST Owner CHRISTOPHER A/SREY P MOHR Create Date 12/26/2013
Contractor BAYAREA SERVICES INC __ Category 502-Residential-Both Plan
Inspector John Zarate
Fuel QGas Oil � Electric __� �olar Solid �
System � New J �✓ Replace I � Other j
✓ Forced Air ! Radiant p Steam ✓ A/C � Vent
Electric Hot Water Suppl. Con.Bumer
Chimney Type '� ChimneyA � Chimney 6 � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature FR/REPLACE FURNACE AND A/C, ELECTRICIAN IS ACTION ELECTRIC *'check#43789 �
of Work �
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Fees: Valuation $7,215.00 Plan Approval $0.00 Permit Fee Paid $142.00
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Issued By: ��(�O Date 12/26/2013 �
❑ Permit Voided j Parcel Id#1517410000
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 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 Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
P}�ne(920)236-5050
. Fax �920>236-SOg4 C�f HKO.IH
ON THE WATER
HVAC PERMIT APPLICATION
All infortnation 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 pernut fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds check here :
if vou want this processed through vour account (�
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CONTRACTOR ��'�/ ��� t� �� �'"�` V r GG 5 DEC 2 6 2013
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CHECK 0 ALL APPLICABLE ca�T:►ru�;�,�r,E�'ELOP'.11E.'YT
iNSPECT[�'�"�:5E�?VrC£S Dl�'ISION
USE CATEGORY
: L�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �as ❑Electric ❑Solid SYSTEM ❑New �T2eplace
❑Oil ❑Solar ❑Other
TYPE
�Farced Air�Radiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water❑Suppl.�Con.Burner
IS CHIMNEY BEING LINED J�JNo ❑Yes -LINER SIZE &MANiJFACTURER
Note:All chixnneys shall be sized per the BTLT's being vented.
CHIlVINEY TYPE ❑Chimney A ❑Chimney B @�Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing L�Tot Applicable
BTU RATE ❑As Per Plan I�"Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE ��P�� G E F U%��L�¢G� � f�. G
VALIJE(Including labor and all materials including light figtures) $ ��a � �• �
ELECTRICAL CONTRACTOR/�}C�/GN �GGC7Rl�R ❑ Electric Installation Verification form attached(If Replacement)
Electrical installntion of new/replacement equipment shal!be done by license�l contractors.
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