HomeMy WebLinkAbout0127023-HVAC
G
OSHKOSH
ON THE WATER
Job Address 3190 BAILEY CT
CITY OF OSHKOSH
No
127023
HVAC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 07/23/2007
Plan
Category 500 - Residential-Heating & Ventilating
Contractor
GRANT SCHULTZ HEATING & COOLING
U Oil ~tric ------.J DSoTar---=:J U Solid ~
~pla~__.__~ [lQ~~______________..J
o Radiant _~ U S~~~~=-::==J 0 AlC____====:= U~~::'L_---==]
D ~ O_...__-_S_--.u.-_P._p....I.....- .__n_ IT I
Hot Water__:J __J~o~~~~n~T,
() Chimney B ------..~QIf~({Ve~C-=:_:=:=O::r\lS;t:f.2pll~?Ele_:__::=j
-=IL Exi~ting ____________=0 NoC6eplj~1l_~~==-__==_=:J Value___________
_ _=::rJ Variable :==-- __CToiFler------======-==-:J Value
Fuel ~s
System 0 New
0:!~~~
U Electric ~
Chimney Type ~mney A
Heat Loss .-: As Approved
BTU Rate .---;;:;;SPer Plan
Use/Nature l\ISFRI New single family 1 story 2 car attached garage and 14' x Mpati-o.--'-'DE-SIT ACCT*--:--
of Work I
I
~---.-'-l
i
i
.~_______.___________..J
Issued By:
$4,500.00
-~
Plan Approval
$0.00
Permit Fee Paid
________$.77.5Q
Date 10101/2007
Fees: Valuation
o Permit Voided I
Parcelld # 1342950200
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
S~9L21_~-=~~~6..____
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.
Ssp 27 07 02:07p
Grant Schultz
920-237-4959
p.2
City of Oshkosh
Division ofInspection Services
1>.0" Box 1130
Oshk()sh, WI 54903- I 130
Ph9ne (920) 231$-5050
.. FaX (920) 236:'5084
,-:.. -~=- ..~."'r:..rr-f.:'
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 HaJI, Room 205 or mailed to Inspection Services, PO Box J 128.
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $1 00.00 plus the
nonna! permit fee, which ever is greater.
OR
I ee ACClJlI17t Svstem Gndhave ade ilofe u/lds. check here
;
JOB ADDRESS J j 90 .g4j ktf &Cl--rt-
OWNER~ /JMJ€.f I LLt.- _:_
CONTRACTOR 0rfJ tJ I j d1-~ 1/7.. H Ilk) Lle..
DATE
.1 . )1-67
CHECK 0 ALL APPLICABLE
USE CATEGORY
l(Single Family DDuplex DMulti-Family
o RentaJ
o Commercial
Dlndustrial
FUEL
[g"Gas
DOH
DElecmc OSolid
OSolar
SYSTEM
DNew
DOtber
DReplace
\!?!PE
flForced Air
DRadiant
DSteam ONe DVent DElectric
DHot Water OS up pI. DCon. Burner
IS CHIMNEY BEING LINED1JNo DYes - LINER SlZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
;>;:::tAs Approved
'tJAs Per Plan
DChimney B
OExisting
DVariable
l2lIDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BElNG DONE
rv~w ~U~
~
10?
{J
f56D DE
ELECTRICAL CONTRACTOR _ E C ~ f 16c;Jri~
o For applicable projects. an Electric Installation Verification fonn, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
VALUE (Ioc:luding labor and materials) $
115CJ
10/009