HomeMy WebLinkAbout0127870-HVAC
G
OSHKOSH
ON THE WATER
Job Address 3135 BAILEY CT
CITY OF OSHKOSH
No
127870
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 10/02/2007
--~-_._-_.._-_.-
Heat Loss
GRANT SCHULTZ HEATING & COOLING Category ?_OQ=-~E?~!cLe.r:!tl~I-I::I~~~g~~~.!'!!!Cl!i_~g___ Plan
0GaS ~ ITOII---~-=J O~I~C!~i~_~==] D=SOfar====_~]
Ii] New _-.J 0_ Re~~______J D_9th_er
~cedAir ITRadiant _~ U~_~ ITA/C--------l Dverit-----,----j
U Electric U Hot Water J WuPpJ:__.-J ~~~_~urner J
O=C6imneyA---:--=:a ChimnE?Y~--=-.~~~-==-=- 0: Not~f>~licable --~=~
._~~Approved O~E~~____::_=-___O Not ApJ)li~~iI~=_==J Value_____________
I[-A~...f_eI..Plan - ---:-==:0 _ Va ri~ble _:=:~====a_=Q:th_El-r~--:-~:---===J Value
Solid
Contractor
Fuel
System
Chimney Type
BTU Rate
Use/Nature INSFRTTsto-ry-hOme witha-2caratfacheagarage~ --14'x14'patiO_- -
of Work I
Fees: Valuation ____~4,500.0Q
Issued By: ~
Plan Approval _________ $O.O()
Permit Fee Paid _________!D'.50
Date 11/19/2007
---
o Permit Voided :
____._.___________ ___--=-.J
Parcelld # 1342951300
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
(92_0)}1~-1Q.~___ _
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.
Nov 18 07 08:42p
Grant Schultz
920-237-4959
p.5
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(~'. -"I=: "::";'l::roi
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processecl
· Application(s) and fee(s) can be brougbt to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 J 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
f
ee Account Svstem and have ade uate unds check. here
DATE
. if - } Y~G'l
JOB ADDRESS'1;J .~ ~.~ __ful.//-e~ Cl-
OWNER___'2w~ - _'.
CONTRACTOR (~rtIJ1 i j(.J,,~/h_ HII/k..
CHECK 0 ALL APPUCABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
o Rental
o Commercial
o Industrial
FUEL
qrGas
DOil
DElectric DSolid
o Solar
SYSTEM
gN'ew
DOther
DReplace
~PE
pForced Air
o Radi ant OSteam DAlC o Vent DElectric DHot Water DSuppL Deon. Burner
IS CHIMNEY BEING LINED1JNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTURATE
OChimney A
IO'As Approved
UOJAs Per Plan
DChinmey B
DExisting
OVariable
~irect Vent o Other
ONot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
{l).ew f4(J~
If -()6~
VALUE (Including labor and materials) $ ~ --,
ELECTRICAL CONTRACTOR _ r Cc f:'/..e:clri'l..
o For applicable projects. an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. [f not attached or not applicable, a separate Electrical Permit is required.
77.50
10/04