HomeMy WebLinkAbout0124547-HVAC
e
OSHKOSH
ON THE WATER
Job Address 3120 BAILEY CT
CITY OF OSHKOSH
No
124547
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 03/22/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate It As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
D Replace
U Steam
IJ Suppl.
. Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature NSFR / INSTALL NEW HVAC FOR NEW HOME
of Work I
Fees: Valuation $4,500.00
Issued By: ~ W
Plan Approval
$0.00
Permit Fee Paid
$77.50
Date 05/02/2007
D Permit Voided I
Parcel Id # 1342950900
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 (Le. 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.
Apr 26 07 11 :06a
Grant Schultz
920-237-4959
p.4
.....ny O~ \.r.>UJl.u:..u
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-II30
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
APR2 6 2007
DEPART~€~JLg~MENT
. COMMUNITY VICES DIVISION
HVAC ~fNA~LICATION
An information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOJH
ON THE' WATEI1
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-).128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ell eck here
DATE l/-.2C-6"1
.JOB ADDRESS .2;, J J- () ''1:a; 16.j GJ-
OWNER ~ U 5tL. ~
CONTRAC;OR G rani ,eeJu!h-
CHECK ~ ALL APPLICABLE
~ATEGORY
~;)ingle Family
FUEL ~Gas
Don
DDuplex OMulti-Family
DRental
o Commercial OIndustrial
OElectric DSolid
o Solar
SYSTEM
ONew o Repla:ce
o Other
~~d Air DRadiant DSteam DAlC DVent OElectric DHot Water DSuppLOCon. Burner
IS CmMNEY BEING LINED ~ DYes - LINER SIZE & MANUFACTIJRER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
t5l_As Approved
(DAs Per Plan
DChimney B
o Existing
o Variable
0Direct Vent OOther
DNot Applicable
OOther Value
DESCRIPTION OF AlL WORK BEING DONE j/J.L.u) /III ~
VALlIE (Including labor and all materials including light fixtures) $
Y~-DO 09
ELECTRICAL CONTRACTOR
OR 0 Electric InstaJlatioD Verification form attached(l[RcpI2cemmu}
~trical instrrllalioll ofnewlreplactlllrent eqllipmenl shall bi! done b)'licensed contractors.