HomeMy WebLinkAbout0124955-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1514 BOWEN ST
CITY OF OSHKOSH
No
124955.
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES C/PEGGY J .BLEUER JR
Create Date 05/24/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel I I Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A U Chimney B
Heat Loss () As Approved () Existing
BTU Rate U As Per Plan C) Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
~ NC U Vent
U Con. Burner-I
. Not Applicable
. Not Applicable
. Other
Value
Value
UselNature SFR I Install new alc unit Hullar Electric will do electrical work. **DEBIT ACCT**.
of Work
Fees: Valuation
$1,650.00
() /n1/Q
Plan Approval
$0.00
Permit Fee Paid
$35.50
Issued By:
Date 05/24/2007
D Permit Voided I
Parcelld # 1511820000
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 tosecure 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.
~y 23 07 1~:55p
~
Grant Schultz
920-237-4959 p.1
'-llY U~ u:iU&USU
Division of Inspection Setv.ices
P.O. Box 1130
Oshkosh, Wl54903-I 130
Phone (92(}) 236-5050
Fax (920)236-5084
~
OJHKOJH
ON THE W^TEI;:
HVAC PERMIT APPLICATION
All infollllation 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-J 128. Commencing work without permit(s} win result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
J
i
ee Account S stem and have ade uate lmds check here
.JOBADDRESS-J0!lf gtJU)-tl7 J/.rd
OWNER ~tJ 1'}1 (J~ 1; I.p u~r
CONTRACTOR &lV"btlf JJ1t~ /h /J ~ j !I/e-.I tee,
DATE 5-cJd-D'
CBECKItI ALL APPLICABLE
USE CATEGORY
~ngle Family
DDuplex
OMulti-Family
DRental
o Commercial
OIndustrial
FUEL
DGas
DOil
OElectric DSolid
OSolar
SYSTEM
!:mew
o Other
OReplace
TYPE
OForced Air DRadiant DSteam YAle DVent DElectric ORot Water OSuppLOCon. Burner
IS CIDMNEY BEING LlNEDDNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHL"fNEY TYPE
HEAT LOSS
BTU RATE
DChim.ney A
DAs Approved
DAs Per Plan
DChimney B
o Existing
o Variable
DDirectVent DOther
~ot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
11) J It Ill.fi tPl1
I))
A/eu)
4 /~ tt fJ/t
1
J. c 00
VALUE (Including labor and all materials including light fixtures) $ (0 J D --
ELECTRICAL CONTRACTOR /Ja/kr OR 0 Electric Installation VerificatiGn f~rm attac:hed(lfRepI:3c:ement)
Ekdrical ins-talla/ioll olnf!wlrep/acemenr equfpmenl siJall be done by ficensed co;~c/ors.
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