HomeMy WebLinkAbout0125353-HVAC
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
125353
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2117 MOUNT VERNON ST
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel l.!:J Gas UOil
System o New
~ Forced Air U Radiant
l I Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan U Variable
Owner DEWEY HOMES INC
Create Date 04/27/2007
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
() Not Applicable
() Not Applicable
C) Other
Value
Value
Use/Nature NSFR/ New single family, one story, 2 car attached garage and 12' x 12' patio.
of Work
Issued By:
$5,200.00
~
Plan Approval
$0.00
Permit Fee Paid
$88.00
Date 06/15/2007
Fees: Valuation
D Permit Voided I
Parcelld # 1515980000
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.
::: 14 07 11:01p
::: City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1] 30
Phone (920) 236-5050
Fax (920) 236-5084
Grant Schultz
920-237-4959 p.1
~ j,d'!
~
OfHKOfH
ON THF '''''ATFR
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomp[ete applications will not be processed.
· Application(s) and feees) can be brought to City Hall, Room 205 or mai[ed to Inspection Services, PO Box] ]28,
Oshkosh WI 54903-1128. 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
e Account S 'stem and have ode uale unds check here
JOB ADDRESsa1 ;;? j /7 nz llkfl1tn1"
OWNER .--r; ffI tYl" 1!;r,.t1r
CONTRACTOR (~Y'{JJ11:- Yc1u 1/2 /1/11' Ilk: I U(
DATE
~~I It-OJ
CHECK 0 ALL APPLICABLE
-!LS'E CATEGORY
gsingle Family DDuplex
DMulti-Family
o Rental
OCommerdal
o Industrial
FUI1:L
@1Gas
DOil
DElectric DSolid
OSolar
SYSTEM
DNew
o Other
o RepJace
;rrPE
'3lForced Air o Radiant DSteam DAIC OVent DElectric
IS CHIMNEY BEING LINED tIN 0 DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
DHot Water OSuppl. DCon. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTURATI1:
OChimney A
EilAs Approved
~s Per Plan
DChimney B
o Existing
OVariable
&:rnirect Ven t DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
iltttJ J//I!JC- h?JkIItJ?~ I
5: ~
VALUE (IncJuding labor and materials) $ d 00
ELECTRICAL CONTRACTOR 'Dud,~ t/-pclnL
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not appLicable, a separate Electrical Permit is required. ~
1;0
-0
\ a- 10/04