HomeMy WebLinkAbout0124546-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1055 JOHN MOORE DR
CITY OF OSHKOSH
No
124546
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 02/12/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System o New
L!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A o Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan C) 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
U Suppl.
e Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature NSFR /INSTALL NEW HVAC FOR NEW HOME
of Work
Fees: Valuation $4,800.00
Issued By: Sl"Y)LLJ
Plan Approval
$0.00
Permit Fee Paid
$82.00
Date 05/02/2007
D Permit Voided I
Parcelld # 1342951900
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 inspection is not performed within two business days from the time the project is ready.
Apr 2607 11 :05a
Grant SchultZ
920-237-4959
p.3
......J~ Y UJ. \J.s.llK~
Division oflnspection Services
P.O. Box 1130
Oshkosh. WI54903-1]3()
Phone (920)236-5050
Fax (920) 236-50&4
RECEIVED
APR 2 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
HV AC PBRMt:rI~ptLl<eM'feJstJ
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOJH
ON THE W^TER
· Application(s) and fee(s) can be brought to City Hajj. Room 205 or mailed to Inspection Services" PO Box: 1128...
Oshkosh WI 54903-).128. Cormnencing work without permit(s) will result in fees being doubled or $100.00 pius the
nonnal pennit fee, which ever is greater.
OR
J
check here
JOB ADDRESS /0 s r john moo('~briY~
OWNERJ en ~
CONTRACTOR (; ran-/- 2c "-4 11"7-
DATE
'1- /5-07
CHECK I!1J ALL APPUCABLE
~CATEGORY
~ingle Family 'ODuplex
OMulti-Family
ORental
OCommercial
o Industrial
FUEL
lDGas
DOil
OElectric 0 Solid
OSolar
SYSTEM
ONew
OOther
o Replace
~E .
tliForced Air DRadiant OSteam DAle DVent DElectric DHot Water OSuppl.DCon. Burner
IS CHIMNEY BEING LINED l!rNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACIURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
o Chimney A
-gtAs Approved
~s Per Plan
OChimney B
DExisting
DVariable
;):!Direct Vent o Other
ONot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE
lV..t-tu jJ /Ill e
VALUE (Including labor and all materials including light fixtures) $
f..JfooOg
ELECTRICAL CONTRACTOR
~e~~
OR 0 Electric Installation Verification form attached(lfRepI:lcemenl)
E1ec/;ical insln/laliolJ afnew/replacement equipl1/enl shall be done by licenser! ccnfraclon:.