HomeMy WebLinkAbout0123533-HVAC
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OSHKOSH
ON THE WATER
Job Address 3320 3322 ISAAC LN
CITY OF OSHKOSH
No
123533
HVAC PERMIT - APPLICATION AND RECORD
Owner WILLIAM K MILLER
Create Date 11/08/2006
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric ' l I Hot Water
Chimney Type K) Chimney A C) Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
D Other
U AlC U Vent
'UCbn: Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature NEW DUPLEx/LATE PERMIT/1 story side by side units with attached 2 car garages. and finished basements.
of Work
Fees: Valuation
$13,600.00
Plan Approval
$0.00
Permit Fee Paid
$392.00
Date 02115/2007
Issued By:
~
D Permit Voided I
Parcelld # 1416580300
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
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.
i
p. 1
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-] 130
Phone (920) 236-5050 t
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOJH
c:-; T'"If \'/ATFR
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servic~s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wil1 result in fees being'doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particZ"r;:atin in the Permit ee Account S 'stem and have ade uate unds check here
if vou want this orocessed throuf!h vour aCCOunt J5(J
JOB ADDRESS :; :3 (;"'0 '7
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OWNER . [....Ji /If i !/-fr
CONTRACTOR (;("(}/l6 J~Av/2 #0 j flle.., Lit.
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~adC )/rl..
DATE
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CHECK ra ALL APPLICABLE
USE CATEGORY
DSingle Family rEf Duplex OMulti-Family
DRentaI
OCommerciaI
OIndustrial
FUEL
'@Gas
DOil
DElectrk DSoIid
oSolar
SYSTEM
BNew
oOther
DReplace
TYPE
"'i:f3Forced Air DRadiant oStear.!l, oNC o Vent oElectric DRot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per th;: BTU's being vented.
& MANOP ACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimneyA
-!ZIAs Approved
MAs Per Plan
OChimney B
oExisting
o Variable
ISDirect Vent DOther
DNot Applicable
oOther Value
rve.W [~O'nJ huel/to) I (U-t;? /1
DESCRIPTION OF ALL WORK 18iEING DONE
JI /Ill f!.-,
ro gb'fjO-" per j;t42
~1n.. '11-)
f) \ \ \f _ ro/Q
v /fa
,0.
ELECTRICAL CONTRACTOR
C For applicable 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.
10/04