HomeMy WebLinkAbout0125352-HVAC
e
OSHKOSH
ON THE WATER
Job Address 3230 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
125352
HVAC PERMIT - APPLICATION AND RECORD
Owner CASEY'S MEADOW LLC
Create Date 04/17/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type C) Chimney A C) Chimney B
Heat Loss . As Approved o Existing
BTU Rate '. As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
LJ Suppl.
. Direct Vent
I I Solar U Solid
n Other
U AlC U Vent
LJ Con. Burner
o Not Applicable
o Not Applicable
o Other
Value
Value
Use/Nature NSFRI ( LATE PERMIT) New single family* 1 story with 2 car attached garage and a 14' x 14' concrete patio. The driveway will be 24'
of Work wide.
Fees: Valuation
$4,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.50
Issued By:
Date 06/15/2007
D Permit Voided I
Parcelld # 1336070000
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.
Jun 14 07 10:47p
Grant Schultz
~D
/)1.
920-237-4959
p.2
......Jly 01 V:>IUU.Sll
Division of Inspection SeIVlces
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5034
~
OJHKOJH
ON THF W^TER
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed
· Application(s) and fee(s) can be brought to City HaIl, Room 205 or mailed to Inspection Services, PO Box] 128.
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
J
ee Account S stem and have ade uate urzds check here
JOB ADDRESS 3 J:5D . m 6th>> l'& 'rJ [ ;) /}g
-l
OWNER {J,tL~[~
CONTRAC~OR b:JCU/l! Jd'A/ 1/2 /117 i !J Ie I Ltc
DATE
G, - (~t77
CHECK 0 ALL APPLICABLE
USE CATEGORY
)1Single Family ODuplex DMulti-Family o Rental DCornmercial DIndustrial
FUEL 'OGas OElectric o Solid SYSTEM DNew DRepla:ce
DOi] DSo]ar DOther
~E
l)'Forced Air DRadiant DSteam DAle DVent DElectric OHot Water DSuppLOCon. Burner
IS CHIMNEY BEING LINEDlDNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shalJ be sized per theBTU's being vented.
cmMNEY TYPE
BEAT LOSS
BTU RATE
OChirnney A
},;LAs Approved
PAs Per Plan
DChimney B
OExisting
DVariable
~Direct Vent DOther
ONot Applicable
O"Other Value
DESCRIPTION OF ALL WORK BEING DONE ~
/I}Jb II ;V~W JI. ~
re (l.J
?7
'?
I)-~
if t(f!
VALUE (Including labor and all materials including light fixtures) $ "7)'0 l5
ELECTRICAL CONTRACTOR
OR 0 Electric Installation Verification flJrm attached(lfRI:placement)
E/ec(rica{in~Q"{llion of new/replacemen( equipment sh.dl be done by licensed co/Uraclors.
3/02
..-.:- _... - -"~'-""--'- ...-.--------.
_.*_~.;~..', .._...~....,.. ;., ......M._ . ............