HomeMy WebLinkAbout0124438-HVAC
o
OSHKOSH
ON THE WATER
Job Address 3170 BAILEY CT
CITY OF OSHKOSH
No
124438
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 02/12/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type Ie) Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar I Solid
D Other
U AlC ~ent
U Con. Burner
() Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature NSFR / NEW HVAC FOR NEW HOME
of Work
Fees: Valuation $4,800.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
$82.00
Date 04/26/2007
D Permit Voided I
Parcelld # 1342950400
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 -7298 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 inspectipn is not performed within two business days from the time the project is ready.
Apr 26 07 11 :05a
Grant Schultz
920-237-4959
p.2
\....JLY OL ~lU\.W>U
Division of Inspection Services
P.O. Box 1130
Osbkos'h, WI 54903-1 130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
APR2 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~
OJHKOJH
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
Donna1 permit fee, which ever is greater.
OR
f Oil are a contracto,. artici atin in the Permit check here
'ou want this rocessed throu h our account
DATE 7"~ p '--07
JOB ADDRESS .; /70 'bd 11/-<<1 c .f
OWNER~U.l~
CONTRACTOR 6rtl17G }C)..A4 {/Z
CHECK Ia ALL APPUCABLE
~ CATEGORY
~Single Family DDuplex
o Multi-Family
DRental
o Commercial
o Industria.l
FUEL
ElGas
o Oil
OEJeCtrlc 0 Solid
OSolar
SYSTEM
ONew
OOther
OReplace
~E .
@IForcedAirORadiant DSteam DAle OVent OElectric OHotWater OSupp1.0Con. Burner
IS CBlMNEY BEING LINED ~ DYes - LINER SIZE & MANUFACTURER
Note: An chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
l;}1As Approved
~s Per Plan
DChimney B
DExisting
OVariable
IDDirect Vent OOther
DNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
IUu1J ;J II (Jr!.-
.
VALUE (Including labor and all materials including light fixtures) $
.0 ",a
t;.r 66 ~..-
ELECTRICAL CONTRACTOR
'E t,f
OR 0 Electric lnstaJlation Verification flH"m attached(lfRepl:lCement)
Eleclricalinsucllalioll a/new/replacement equipment shot{ be door!. bJ' iicen!ied contractors.