HomeMy WebLinkAbout0126547-HVAC
G
OSHKOSH
ON THE WATER
Job Address 932 WINNEBAGO AVE
CITY OF OSHKOSH
No
126547
HVAC PERMIT -APPLICATION AND RECORD
Owner HABITAT FOR HUMANITY OF OSHKOSH I
Create Date 08/29/2007
Contractor GRANT SCHULTZ HEATING & COOLING
Fuel l!J Gas UOil
System o New
~ Forced Air U Radiant
U Electric U HotWater
Chimney Type D Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate Ie As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Bumer
~~pplicable
U Electric
o Replace
U Steam
U Suppl.
e Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature 'SFR / LATE PERMIT / HVAC new single family. "debt acct
of Work
Fees: Valuation $4,700.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$180.50
Date 08/30/2007
o Permit Voided I
Parcelld # 0203200000
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.
:::g 30 07 02:47p
::: City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh, VVI54903-I130
Phone (920) 236-5050
Fax (920) 236-5084
Grant Schultz
920-237-4959 p.i
~
OJHKOJJ-1
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HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $1 00.00 plus the
normal permit fee, which ever is greater.
OR
ee Account Svstem and hay!! ade /late unds check here
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JOBADDRESS;--= ""-'<..( '_-; . I. / J'1t7/J ,\L.
OWNERM tti~ -Cor b4tJ.f /IJ .
CONTRACTOR i~r:!lt:1 { j[,ktt III U /Ilk..
DATE
:51 ~--3l!T07
CHECK !0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
o Commercial
Dlndustrial
FUEL
IrGas
DOil
OElectric OSolid
OSolar
SYSTEM
lPNew
bOther
OReplace
\PfPE
pForced Air
DRadiant
DSteam ONC OVent DElectric
OHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING ]["lNED'SINo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChirnney A
7O'As APPTove.d
'1JAs Per Plan
OChimney B
DExisting
OVariable
mIDirect Vent OOther
DNat Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
ft)~.w AIJ~
. aU
VALUE (Including labor and materials) $ '170Q'-
ELECTRICAL CONTRACTOR Jif.:(JI.er ~'I-ec.friL .. .... .. .
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not atiached or not applicable, a separate Electrical Permit is required.
10/04