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
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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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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
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'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
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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.
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