HomeMy WebLinkAbout0124974-HVAC
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OSHKOSH
ON THE WATER
Job Address 1030 JOHN MOORE DR
CITY OF OSHKOSH
No
124974
HVAC PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 03/22/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel l!J Gas UOil
System o New
l.!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney 8
Heat Loss . As Approved C) Existing
BTU Rate . As Per Plan o Variable
Category 502 - Residential-80th
U Electric
D Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. 8urner
() Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature NSFRf LATE PERMIT/ 1 story home with a 2 car attached garage, 13'6"x20' concrete patio.
of Work
Fees: Valuation
$4,500.00
()muo
Plan Approval
$0.00
Permit Fee Paid
$177.50
Issued By:
Date OS/24/2007
D Permit Voided I
Parcelld # 1342951600
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.2
vnY01~
Division of Inspection Services
P.O. Box 1130
Oshkosh. Wl54903-I130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOJH
ON THE WATER
HVACPERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications win Dot 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 witham permit(s) will result in fees being doubled or Sl00.(){) plus the
normal permit fee, which ever is greater.
OR
If VOll are a contractor varticipatin;z in the Perm it fee Account System and have adequate funds, check here
i ou want this rocessed throu h vour account
DATE
5 -:1 0/-07
JOB ADDRESS /0 3 () ~Dhh m CJt5r<-
OWNER-12U1cJ
CONTRACTOR (l~Mt ..geL 117- 114 ~ II Ie -; L6C-
CHECK I?I ALL APPLICABLE
~CATEGORY
~SingleFamily DDuplex
DMulti-Family
DRental
o Commercial
o Industrial
FUEL
13Gas
Don
DEleetric OSolid
DSolar
SYSTEM
~~
o Other
DReplace
~E
~Fdrced Air DRadiant DSteam DAle OVent DElectric DHot Water OSupp1.DCon. Burner
IS CHIMNEY BEING LINED ~ DYes - LINER SIZE & MANUFACTURER
Note: All chinmeys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChinmey A
11t\S Approved
ffAs Per Plan
OChimneyB
DExisting
OVariable
DIDirectVent o Other
O~ot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
?J.ew I-I/)~ j/js~/(
.
VALUE (Including labor and all materials includiog light fixtures) $
f{StJDO!
f(}~C11~
ELECTRICAL CONTRACTOR . Y:C 3
OR 0 Electric Installation Verification form attadJ{~d()fReplacemel1l)
Electrical installatiot~ ojnelVlreplaci!11Ient equipment sllall be dtmebJ' ficertserf ccmlractors.