HomeMy WebLinkAbout0103793-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 638 FRANKLIN ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GRANT SCHULTZ HEATING & COOLING
Oil
Owner AMANDA D CAVES
Category 502- Residential-Both
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103793
08/28/2003
Other J
Vent J
Use/Nature SFR/Install new furnace & A/C. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$3,950.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 08/28/2003
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 1411 S MAIN ST Oshkosh WI 54902 - 6519 Telephone Number
(920) 216-1616
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.
Cky of Oskkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OZHKO/H
HVAC PERMIT APPLICATION
All information after bold categories must be prove, dod.
Incomplete applications will not be processed,
· Application(s) and fee(s) can be brouglxt to City Hall, Room 205 or mailed to Inspection Serv/ees, PO Box 1128,
Oshkosh WI 54903-.I 128~ Commencing work without permit(s) will result in fees being d~ubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor oarticipating in the Pert~qd~ee rt¢coun! Systet~ and have adequate funds, check here
if you want this processed through your account )P4~
DATE
CHECK I~ ALL APPLICABLE
USE CATEGORY
4~mgle Fam?ly I-IDuplex IDMulti-Family F1Rental
E]Conunercial
E]Industrial
FUEL .lSlG~s [3Electric EJSolid SYSTEM FINew
12Replace
[3Oil U1Solar [3Other
TYPE
J~Zoorced Air [3Radiant EISteam F1AJC FIVent FIEleewlc I"lHot Water E1Suppl. FICon. Burner
IS CI-tlMNEY BEING LINED.I~No EIYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE IDChimney A F1Chimney B ~iirect Vent
HEAT LOSS E3As Approved [3Existing FI}qot Applicable
BTU RATE I-lAs Per Plan [3Variable EIOther Value
DESCRIPTION OF ALL WORK BEING DONE ~/ ~fJ9~tg_
/
& MANUFACTURER .
DOther
3/02
I'd 6ci6t,-LE:~(O~6) 3/'1:1 'l: ~,H zo, Inqos o, ue,.19 e~0:60 E:O 8~ !!nkl
Ruc 28 03 OS;08a ~rant Schultz Htc & R/C [920)237-~959 p.2
(we)
Electric Installation Verification
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ~Rs*r, qW- ._K,/.~t~c3'~ ~nT~'~, (Name of party contracted to)
at the following a~d~ss: & ~ g ~a.~,oM C;~
(Address where work will be performed)
Thenature of the work consists of: (Check One or Describe theNatm-e of Work)
Recormection or new circuit for replacement Heating Plant and/or AJC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reeormection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Recormection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (honse or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value ofthis work is $ ] 5'"~" ~
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
Name of Officer) (Date)
5102