HomeMy WebLinkAbout0126349-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 3115 BAILEY CT
CITY OF OSHKOSH
No
126349
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 06/14/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel ~as UOil
System ~New
~ Forced Air U Radiant
U Electric I J Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating
~tric ::==:J U Solar
o Replace
U Steam I U AlC .-J
U Suppl. _~ U Con. Burne!]
. Direct Vent C) Not Applicable
C) Not Applicable ~ Value
C) Other ~ Value
Use/Nature INSFR /INSTALL HVAC SYSTEM FOR NEW HOME **debt acct
of Work
,
l
Plan
J Solid
I
J
I
-l
I
\
Fees: Valuation $4,500.00
Issued By: %J]~
Plan Approval $0.00
Permit Fee Paid _____:tV.50
Date 08/20/2007
o Permit Void~
Parcelld # 1342951100
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.
Date
Signature
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 (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.
Aug 20 07 08:49a
Gr::mt Schultz
920-237-4959
p.2
....lLy U1 U"'I.UUJSlJ:
Division of Inspection Services
P .0. Box 1130
Oshkosh, WI 54903-1130
Pho+1e (920) 236-:5050
Fax. (920) 236-5084
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OJHKOJH
ON THF WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
c::l Application(s) and fee{s) can be brought to City Hall, Room 205 or mailed to Inspection SerVices, PO Box 1128,
Oshkosh WI 54903-.128. Commencing work witbout permit{s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
I
Account S stem and have ade uate unds check here
DATE ~g - /;J/]-dl
JOB ADDRESS ;). J 5 .'fa; I Uf 6-1-
OWNER 'g U it L. . ,
CONTRAcr-'OR e rani } (//'.u Ih
CHECK ~ ALL APPLICABLE
~CATEGORY
l1{~ingle Family DDuplex
o Multi-Family
DRental
o Commercial
o Indus trial
FUEL
P{GaS
o Oil
OElectric DSolid
o Solar
SYSTEM
ONew
OOther
o Replace
~~ed Air ORadiant OSteam ONe OVent OElectric DRot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~ DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BW's being vented.
CHIMNEY TYPE
HEAT LOSS
BTURATE
OChimney A
l}I~s Approved
LDAs Per Plan
OChimney B
OExisting
OVariable
Wirect Vent o Other
DNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE IJuu lilt IX!..,.
VALUE (Including labor and all materials including light fixtures) $
t.; ~-bO QS;!.
ELECTRICAL CONTRACTOR
seJ
OR 0 Electric Installation Verification form attached(JfRc:pl:H:cment)
~'rical insl(1f/ation a[nelVlreplr.cemenJ eiftlipmcllC sJudl be {'rme by licensed CDntrm:tors.