HomeMy WebLinkAbout0122768-HVAC
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OSHKOSH
ON THE WATER
Job Address 1020 JOHN MOORE DR
CITY OF OSHKOSH
No
122768
HVAC PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 09/06/2006
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel l!':J Gas UOil
System [{] New
~ Forced Air U Radiant
I J Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss . As Approved C) Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar. U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
C) Not Applicable
C) Other
Value
Value
Use/Nature NSFRI Single family 1 story with 2 car attached garage and a 14' x 13'-6" patio.
of Work
:
Fees: Valuation $2,500.qO
Issued By: ~(-""l.)
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 12/01/2006
o Permit Voided I
Parcelld # 1342951500
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 u any s a v I ef e starting such activity.
/"
Signature
Date
Agent/Owner
\
Address
55 CRIMSON LN
OSHKOSH
WI 54902 - 0
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.
~
p. 1
City of Oshkosh
.r'.. Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DEe 6 1 2IlIl6ct'~
~
OfHKOJH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications 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 $100.00 plus the
normal permit fee, which ever i$ greater. .
OR
I au are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here
if vou want this processed through our account
DATE /~-I-~(
. .
. JOB ADDRESS lD () 0 .sf) 11 n m 1J/5f2.
OWNER 7< L( 5 (h . ,f.Ior71~J
CONTRACTOR Cr till { ,Y,~'h r( (/2 /11111 e.-
CHECK 61:1 ALL APPLICABLE
f\ ~ CATEG?tRY
9'!l~mgle Faml Y
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
FUEL
i:JGas
DOil
DElectric DSolid
o Solar
SYSTEM
o New
o Other
DReplace
TYPE
Yorced Air o Radiant Ds~ea~n DAIC o Vent OElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED [(1~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per tb: BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
]pAs Approved
~As Per Plan
DChimney B
DExisting
o Variable
F2iDirect Vent o Other
ONot Applicable
OOther Value
DESCRIPTION OF ALL WORKIBEING DONE
//UJTf// / Ill/O;J NE4J ;I JlA~
VALUE (Including labor and materi;aIs) $.
:;; ~66 63
ELECTRICAL CONTRACTOR ~ C S
o For applic\ible projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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10/04