HomeMy WebLinkAbout0124975-HVAC
e
OSHKOSH
ON THE WATER
Job Address 3260 CASEY TR
CITY OF OSHKOSH
No
124975
HVAC PERMIT -APPLICATION AND RECORD
Owner CHET WESENBERG
Create Date 04/0212007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System ~ New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss . As Approved C) Existing
BTU Rate . 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
U Con. Burner
o Not Applicable
() Not Applicable
o Other
Value
Value
Use/Nature SFR/1 story home with a 4 car attached garage, 12'x9'10" rear screened porch, and rear patio.
of Work
Fees: Valuation
$6,200.00
~
Plan Approval
$0.00
Permit Fee Paid
$103.00
Issued By:
Date OS/24/2007
D Permit Voided I
Parcelld #
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.
May 24 07 08:49a
Grant Schultz
920-237-4959
p.3
L.llY Ul. 1..r.>Ull.U:>U
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903- I 130
Pbone(920) 236-5050
Fax (920) 236-5084
~
OIHKOJH
ON THE W^TER
HVAC PERMIT APPUCATION
AU info~tion after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee{s) can be brought to CityHaD, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-).128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
f check here
DATE 5'--b)Y-d]
JOB ADDRESS . ~9?D tfi.t:Rff Trt:L:/
OWNER. (~h.{Jt ft1vSb1~
CONTRACTOR & rt)/l{. SC7!(~#z. Illy j !lIe} t.tG
CHECK &:r ALL APPLICABLE
~.SS!;E CATEGORY
Jingle Family ODuplex
OMulti-Family
DRental
o Commercial
DIndustrial
FUEL
~Gas
DOil
OElectric DSolid
o Solar
SYSTEM
~ew
OOther
ORepla'ce
TYPE
~orced Air ORadiant OSteam DAlC DVent DElectric OHot Water DSuppl.OCon. Burner
IS CHIMNEY BEING LINED ONo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys sball be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
1O,As Approved
~As Per Plan
DChimney B
OExisting
DVariable
~irectVent o Other
DNat Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE
ftkl>> J/tJ /k!. ;/1 ~4 /I
r
i cr6 /0y475
VALUE (Including labor and all materials including light fixtures) $ \p 200 --
ELECTRICAL CONTRACTOR ~tt /kr OR 0 Electric Installation Verification form attached(lfRepl:1eement)
Electrical insral/allan afnew/replacement equipme.nt shall be done by ficensedcv,nlracron.