HomeMy WebLinkAbout0123032-HVAC
o
OSHKOSH
ON THE WATER
Job Address 3140 BAILEY CT
CITY OF OSHKOSH
No
123032
HVAC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 11/01/2006
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System [(] New
~ Forced Air U Radiant
ITElectric ~ U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss . As Approved C) Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
l J Solar U Solid
o Other
U AlC U Vent
U Con. Burner
J Electric
o Replace
U Steam
U Suppl.
. Direct Vent C) Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature NEW SINGLE FAMIL Y*/1 story home with a two car attached garage, 14'x14' patio, and 22' wide concrete driveway. Install new HVAC
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Fees: Valuation
$77.50
$4,500.00
~
Plan Approval
$0.00
Permit Fee Paid
Issued By:
Date 12/28/2006
o Permit Voided I
Parcelld # 1342950700
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
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.
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (9:20) 236-5050
Fax (920) 236-5084
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01'.; r!""l r. t.lAfFR
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be broughtto City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will r~sult in fees being doubled or $100.00 plus the
normal permit fee, which ever i~: greater.
OR
[(vou are a contractor participatinf! in the Permit fee Account Svs'tem and have adequate funds. check here
ifvou want this processed through VOl/I' account 19I
JOB ADDRESS. 31ft ?;ai'~1 C~
OWNER 'K IA> (,1.. _
CONTRACTOR (;r/t1'J ( JCJ1i.{!/Z P II k
DATE J;1-;J;(-. 0(.
CHECK ~ ALL APPLICABLE
USE CATEGORY
(\ ~ingle Family ODuplex LJMulti-Family
ORental
o Commercial
!
DIndustrial
FUEL
W"Gas
DOil
OElectric OSolid
OSolar
SYSTEM
ONew
OOther
OReplace
TYPE
Ltfrorced Air ORadiant OSteam DAle OVent- DElectric OHot Water DSuppl. DCon. :Burner
IS CHIMNEY BEING LINE,D l!1No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney }\
fi1As Approved
liAs Per Plan
OChimney B
DExisting
OVariabJe
rr.TDirect Vent o Other
ONot Applicable
o Other Value
DESCRIPTION OF ALL WORK l8:EING DONE
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ELECTRICAL CONTRACTOR __ Y CS
o For applicable projects, an Electric Installation Verification form, ~igned by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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VALUE (Including labor and materi~lrs) $
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