HomeMy WebLinkAbout2003-HVAC (furnace, A/C)OSHKOSH
ON THE WATER
.lob Address 307 N SAWYER ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GRANT SCHULTZ HEATING & COOLING
Oil
Owner RICHARD/VIRGINI NASLUND REV TRUST
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 IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
L~ Solid
99692
02/05/2003
Other
Vent J
Use/Nature
of Work
COMM/New furnace, A/C & ductwork for ice cream/sandwich shop. *NOTE: Plans to be submitted for review & approval. All items identified in
P an Rev ew must be addressed on s te.
Fees: Valuation
Issued By:
$6,300.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$99.50
Date 02/05/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1411 S MAIN ST Oshkosh WI 54902 - 0
Telephone Number
(920) 216-1616
OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
307 N SAWYER ST
GRANT SCHULTZ HEATING & COOLING
~J Gas I [~ Oil
[] New
~ Forced Air I ~ Radiant
b~ Electric I U Hot Water
Owner RICHARDNIRGINI NASLUND REV TRUST
Category 502 - Residential-Both
~ Electdc
[] Replace
[~ Steam
~ppl.
No 99692
Create Date 02/05/2003
Plan
[] Solar I [] Solid
I [] Other
~J NC I ~ Vent
L~ Con. Bumer I
~.~ Chimney A d.~ Chimney B ~1 Direct Vent d.~ Not Applicable I
~ As Approved d.~ Existing ~ Not Applicable I Value
~ As Per Plan ~.~ Variable ~ Other I Value
Use/Nature
of Work
IOMM/New furnace, NC & ductwork for ice cream/sandwich shop. *NOTE: Plans to be submitted for review & approval. All items
entitled in Plan Review must be addressed on site. .
Fees: Valuation $6,300.00 Plan Approval $0.00 Permit Fee Paid $99:50
Issued By: ~
Date
O2/O5/2OO3
[] Permit Voided j
/q
In the performance o~,'~'~ork. , ag,ee ~.____~pe/o~rny.~l~ work pumuan, to rules governing the described ~nstruc~on.
Sig.atur, ~ ~~,~ ~ ~~
~ ~~en~Owner
Date
Address 1411 S MAIN ST Oshkosh WI 54902 -0 Telephone Number (920) 216-1616
@ity of O~hkosh
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 categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-! 128. Commencing work without permit(s) will result in fees being doubled or $1~00.00 plus the
normal permit fee, which ever is greater~
OR
I£¥ou are a contractor participating in the Permit £ee Account System and have adequate funds, check here
if.you want this processed through your account ~
JOB ADDRESS 307
CItECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family DDuplex
mMulti-Family
mRental '~Commercial F'llndustfial
FUEL ~Gas []Electric []Solid SYSTEM ~g~New []Replace
F1Oil F1Solar []Other
TYPE
[~Forced Air []Radiant [] Steam J~A/C []Vent [] Electric []Hot Water [] [] Con. Burner
Suppl.
IS CHIMNEY BEING LINED~lX~o []Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
FIChimney A
[~As Approved
~As Per Plan
[]Chimney B
[]Existing
[]Variable
~Direct Vent
[]Not Applicable
[]Other Value
F1Other
DESCRIPTION.OF ALL WORI~ BEING. DONE--
v-., - .-- / -, . - ....
/~' ~ , ,
VALUE (Including labor and all materials including light
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
S/02