HomeMy WebLinkAbout0127874-HVAC
cD
OSHKOSH
ON THE WATER
Job Address 2875 HOMESTEAD DR
CITY OF OSHKOSH
No
127874
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 10/29/2007
Contractor
GRANT SCHULTZ HEATING & COOLING
Category ?-29____B~~~e_nE?I_-Ij~i!lll'lg~enJl!?~111l____
Plan
Fuel
~G~~_~ IT Oil _-~ []J:lectric::_- J U SOlar - __J
0~ew n__~ O~Elpla~________J
lli~~~O D~adiant ___J ITsteam--=-:.J O-A/C==:=J
U~ectric _J OJiot Water-:-:J O_~~pE1.====] D~g9_ri=~iJi~~=j
rTI:.~~_Q~6L;r,~=_=~]tDTr~cC'{~C__:--=__-DH~()\~pIT<:<iliI~--..' _._J
. As Approved Q~~.l'lfL__'===----==.o_Not_~eP~~able_______===.__] Value
....~s:}'_~jlan_____n__ _. O~riab~__=_____=____===__ITQlh_~r__-__==:______==J Value
D:Solid __J
D_9!her ________ __I
0.----1
_.~~~____.... J
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature [NSFR/ New single family* 1 story, 2 car attached garage and 13' x 15' patio. The driveway will be 20' wide.
of Work i
I
--------------l
I
i
I
1______-
i
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Fees: Valuation
......J_4.~5_OQ:.D_O
~
Plan Approval
$0.00
Permit Fee Paid
$77.50
Issued By:
Date 11/19/2007
Parcelld # 1341950000
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_ 549Q? - ~98_ Telephone Number ~9?gJ.216=~.E5~_.E5___
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.6
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
,~:.~ .......:: .:t,;Tf-~
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be broughtto City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If VOll are a contracfoJ" f)al.ticiaatin~ in the Permit fee Account Svslem and haV(~ adequate funds. check here
i VOil \Van! (his rocessed thrau h v Ut" account
JOB ADDRESS J 97 f""jJntU J/eeu;J....
14A-s t~_ . _:
CONTRACTOR (3rt"? I j dtu III P Ilk
DATE
- }) //1/07
J I
OWNER
CHECK g ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
o Commercial
Olndustrial
FUEL
p{Gas
DOil
DElectric DSolid
OSolar
SYSTEM
@N-ew
OOther
ORe place
.~PE
. pForced Air
o Radi ant OSteam ONC DVent DElectric DRot Water OSuppl. Dean. Burnet
IS CHIMNEY BEING LINEDlDNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
;>f:;J'As Approved
ttJAs Per Plan
DChimney B
DExisting
OVariable
l2lDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
fV,gw ~U~
VALUE (Including labor and materials) $
'I )Do ~
ELECTRIC.AL CONTRACTOR J C S. f~ l.e c !riC-
O For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. if not attached or not applicabl~ a separate Electrical Permit is required.
77. SD
10/01l