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HomeMy WebLinkAbout0123022-HVAC e OSHKOSH ON THE WATER Job Address 3255 CASEY TRAIL CITY OF OSHKOSH No 123022 HVAC PERMIT -APPLICATION AND RECORD Owner CHET WESENBERG Create Date 11/10/2006 Contractor GRANT SCHULTZ HEATING & COOLING Category 500 - Residential-Heating & Ventilating Plan Fuel UOil U Solid o Other U Vent I J ~ ~ Gas o New l!J Forced Air U Electric Chimney Type 0 Chimney A U Electric Q Replace U Steam U Suppl. U Solar System . U Radiant ~ U Hot Water I C) Chimney B () Existing () Variable :==It Direct Vent U AlC U Con. Burner o Not Applicable Heat Loss . As Approved . As Per Plan C) . Not Applicable D Other Value BTU Rate Value UselNature NSFR /INSTALL NEW HVAC SYSTEM FOR NEW HOME "*debt acct of Work $8,000.00 Plan Approval $0.00 Permit Fee Paid Fees: Valuation $130.00 Issued By: C5'YYI Lt. ) Date 12/28/2006 o Permit ~oided I Parcelld # 1336120000 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 AgentlOwner 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. 10.2 (\ City of Oshkosh Division ofInspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 .J) Ot.\; 1.~ 'LfJUbcrl' . ~ OfHKOfH eN ,~~ \'.!kTF.~ HVAC PERMIT APPLICATION J\1l 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 is greater. OR If vall are a cantractal" (Jarticioa.Jin in the Permi check here if vou wan! this oracessed throufh va ~r account DATE !) - J;?-Oc' '7 I) /.c /i rr_ - t7 JOB ADDRESS J .j, JJ V4~?V~ //UJt# OWNER. flu j {u'~??^k~ ,t" CONTRACTOR ):,bl/tl",_ T ,A~,iA~ /i~ i CHECK It! ALL APPLICABLE USE CATEGORY ~ingle Family ODuplex A!c , (((~ , 0, DMulti-Family DRental OCommercial Dlndustrial FUEL ~Gas DOil DElectrk DSolid DSolar SYSTEM .~New o Other OReplace TYPE 1?Forced Air DRadiant DSteam DA/C DVent DElectric DHot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED ONo DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER CHIMNEY TYPE REA T LOSS BTU RATE OChimney A LOfts Approved )JAs Per :?'lan DChimney B DExisting DVariable iIDirect Vent DOther DNot Applicable DOther Value DESCRIPTION OF ALL WORK BEING DONE Ah fi. /7114.(,' /I (j flr& /J~!j . VALUE (lnelading I,bo, and ..."",a1s) $ if GOO ..:!- .~ ELECTRICAL CONTRACTOR E Cf o For applicable projects,. an Electric Installation Verification fonn, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Pennitis required. f',. 10/04 p.2 r City of Oshkosh Division ofInspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~ OJHKOJH 0;"'; j'-i~ ~NATFR' HV AC PERMIT APPLICATION All infonnation 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) wiH result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR [(VOll are a contractor particiDatin? in the Permit fee Account System and have adequate funds. check here if vou want this vrocessed throu.gh vour account ~ JOB ADDRESS .3:J :5 5 (filii' ra; I OWNER (~he ~ We Jeh ~ CONTRACTOR . [,Nill i ...It,,hit Ih JlI/Ik- DATE J;2- gtf~a CHECK I!2J ALL APPLICABLE USE CATEGORY ('\ ~ingle Family o Duplex IJMulti-Family o Rental DCommercial Dlndustrial FUEL rrGas OOil DElectric OSolid OSolar SYSTEM ONew o Other OReplace ~PE pForced Air ORadiant DSteam DAlC OVent OElectric OHot Water OSuppl. OCon. Burner IS CHIMNEY BEING LINED 101\10 DYes - LINER SIZE Note: All chimneys shall be sized per thl~ BTU's being vented. & MANUFACTURER CHIMNEY TYPE HEA T LOSS BTU RATE OChimney A pAs Approved 'tlAs Per Plan OChimney B DExisting . OVariable rarDirect Vent o Other DNat Applicable . DOther Valu~ DESCRIPTION OF ALL WORK :HEING DONE rJ .p,W ~ IJ ACt ~ -- , ,/ ~ ol-"/6 VALUE (lncludmglabound material.) $ (., Y Do "1J . . . ~. ~ ~ "". II I /I 1;1 ~ .;( e' -0 .,- ELECTRICAL CONTRACTOR _--+~ ii / I-v- ~'I-B C'ff'i~ . . . D For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be attached. Ifnot attached or riot applicable, a separate Electrical Penp.it is required. r; 10/04