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Home My WebLink About0103794-HVAC (furnace & a/c)OSHKOSH ON THE WATER .lob Address 831 HERITAGE TRL Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD GRANT SCHULTZ HEATING & COOLING Oil Owner JOSEPH BESCHTA 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 O Direct Vent ~ 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 103794 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: $2,950.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $50.00 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. Ru~ 28 03 09:05a Grant $¢hultz Htg & R?C (920)237-4959 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold eategoxies must be provided. Incomplete applications will not be processed. OSHKOSH ON -HF ~^TFIR Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspechon Services, PO Box 1128, Oshkosh WI 54903~! 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permt~ Account System and have adequate funds, check here if vou want this orocessed throueh your account I.~ DATE ~7--.~ O3 JOB ADDRESS q CONTRACTOR CtllgCK ~ ALL APPLICABLE USE CATEGORY ~lSingle Famjly I:IDuplex [3Multi-Family F1Rental E1Commercial r~Industrial ~Gas FIElectric DSolid SYSTEM F1New FUEL [2Oil FISolar [2Other V1Replace orced Air E1Radiant FISteam El)dC [2Vent F1Eleenfie l-IHot Water FlSuppl.[3Con. Burner 1S CHIMNEY BEING LINED,~"o [2Yes - LINER SIZE & MANUFACTURER Note: All ch/mneys shall be sized per the BTU's being vented. CHIMNEY TYPE [DChlmney A FlChimney B J~IJ~rect Vent FIOther HEAT LOSS II/ks Approved ElExisting U]Not Applicable BTU RATE [21As Per Plan FIVariable F1Other Value Wc / V.a&,UE ELECTRICAL CONTRACTOR'-(Jf~0}{/~'t~ OR [] Electric Installation Verificatlon formaltached(IfReplacenma) ~ ' F:I~C 28 0:9 09:08a Electric Installation Verification (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for ~,~_~n"F (Name of party contracted to) at the following address: 73! ,t./eTz.-r'/~_~ ~s' (Address where work will be perfonxted) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. __ Rcconnection or new circuit for replacement Electric Water Heater or power vented water heater. __ Reconnenfion 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. __ Reeonnection or new circuit for the replacement of other permanently wired appliances / fimures. New circuit for the addition of A/C to an indi~,idual dwelling unit (hoUse or the individual systems in a duplex or condominium 1, including required service electrical outlets. Other The value of this work is $ / ~ ~ -- I hereby verify this work will be perfm~ned by an employee of this company and further verify the reconnect/on / installation will be done in compliance with manufacturer and Electric code requirements. (Signature of Company Officer) (Print lqame ofOffi~:er) t (Date)