HomeMy WebLinkAbout0126348-HVAC
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OSHKOSH
ON THE WATER
Job Address 3160 BAILEY CT
CITY OF OSHKOSH
No
126348
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 06/14/2007
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Category 500_=_I3~sidenti<!I-Hea!lng & V~~~__
ITl~_ctric==:J
D_~Elplac~________~
o Steam---==:J
OSuppr---i
Plan
Fuel
GRANT SCHULTZ HEATING & COOLING
~~<3as _~ ~
[fl~~____~
~ Forced Air l []Radiant J
~!ric I U Hot Water I
D-~~] ITSolid~==]
UQt~Elr J
ovent--l
I
U Con. Burner I
Contractor
System
U AlC
() Chimney B
() Existing
o Variable
Chimney Type () Chimney A
Heat Loss . As Approved
BTU Rate . As Per Plan
=:]I Direct Vent C) Not Applicable
C) Not Applicable
() Other
Value
Value
Use/Nature NSFR /INSTALL HVAC SYSTEM FOR NEW HOME ""debt acct
of Work
I
i
L
Fees: Valuation $5,200.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$88.00
Date 08/20/2007
o Permit Voided I
Parcelld # 1342950500
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
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.
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
Aug 20 07 08:49a
Grant Schultz
920-237-4959
p.3
.......lty Ul '-.r.>.l.IlC-O:iU
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 130
Phone (920) 236-5050
Fax (920) 236-5084
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OJHKOJH
HVAC PERMIT APPLICATION
An infonnation after bold categories must be provided.
Jncomplete applications will not be processed.
ON THf WI\TER
o Application(s) and fee(s) can be brought to City Han. Room 205 or mailed to Tnspection Services. PO Box] 128,
Oshkosh WI .54903-.128. Comrne:ncing work without permit(s) will result in fees being doubled or $IOO~OO plus the
. nonna}. pennit fee, which ever is greater.. .
OR
1
i
Account S stem and have ade uate unds check here
JOB ADDRESS .~ J ~..(J ''h1; ley 6-1-
OWNER J2. U ~ L "
r J 1/-
CONTRACTOR a rani .J t. //'.u j-rl..
DAm ffl (;1 (J-tr(
CHECK gALL APPUCABLE
~ATEGORY
~~jngIe Family ODuplex
DMultj~Family
DRental
OCommercial
DIndustrial
FUEL
~Gas
000
DElectric OSolid
OSolar
SYSTEM
DNew
DOther
DReplace
~~ed Air ORadian~ OSteam DAle DVent DElectric OHot Water OSuppLOCon. Burner
IS CHIMNEY BEING LINED ~ DYes - LINER SIZE & MANUFACTURER
Note; All chimneys shan be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RA T:E
OChimney A
t}J.-:!\s Approved
llJAs Per Plan
DChimney B
DExisting
DVariable
Wirect Vent DOther
DJ'J"ot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
/'tJ..tttJ /J /,1 ~
VALUE (Including labor 3ndaU materials including light fixtures) $
S) 60 QQ
ELECTRICAL CONTRACTOR St!..s
OR 0 Electric Installation Verification form attached(lf RcpJ~cemenl)
&;;,ricnr jns(nJ{aliOlr ofnewlreplacewenl efJlliplJ1r!nr sJlllfl be done by Jice.zserf conrrnClors.