HomeMy WebLinkAbout0127871-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1050 JOHN MOORE DR
CITY OF OSHKOSH
No
127871
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 10/02/2007
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Category ~QQ:J3El~LdeJ1tL~I:-':!~atJr1B ~_,!~ntilati~Ru
Plan
Contractor
GRANT SCHULTZ HEATING & COOLING
Heat Loss
0Gas OOil ___=J
[?Lt>J~\'.I__________~
~ ~~~~~dAir-J
U_~~~tik --=J
llllirT1i1eYA-
:'=As Approved
'--:As Per Plan
O-ElectrfC-----1
__._~____~.-.J
o Solar===~]
DSOlid--~=::_]
Fuel
BTU Rate
Q_I3_eJ:l~~c~_____.______.J
D=Radia~~-==] D S~~im-~=~J 0 A/C===::=::=:J
O . r---TC I '---'Con~Burner-1
_ J=iOtwaTer:=: LlJ5_~l>pL-:===_J LL:___~_ _____---l
_O~hi~~ __ ____ _J__I?Jr~ct \{e~~=_- :----0 :N_ot~p[lli~a})Ie-:~--]
--- 0 Existing---:==--=O-NOt .A~E~abfe===] Value
---0 Variable~__D_Otl!Ei=====] Value
Other
System
D- Ve_nt _:=_=:---]
Chimney Type
Use/Nature [NSFR/1 story hOme with a 2 car attached garage,-14'x14' concretepatTo~-----
of Work!
~____~~_"____'_""_""_~_'__~_U_ ---1
Issued By:
$4,500_00
----------~
Plan Approval
$0.00
Permit Fee Paid
$77.50
Fees: Valuation
Date 11/19/2007
D_~~~~t Void~~J
Parcelld # 1342951800
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 ~~?_0)~~_~: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.
Nov 18 07 08:41p
Grant Schultz
920-237-4959
p.2
City of Oshkosh
Division ofInspection SelVices
P.O. Box Il30
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
/';'_ --1:" .-;r;TFr.:
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 1128,
Oshkosh WJ 54903-1128. Commencing work without permit(s) will result in fees being doubled or $1 00.00 plus the
normal permit fee, which ever is greater.
OR . . , .
If VOII are a contractor participatinrz in the Permit fee Accollnt Svslem and have adequate funds. check he"~
i VOlt want this ,'ocessed throll hour aCCOl/nt
OWNER
j D 5D
g~-
.}b~rtJ11tJl)r-e.
DATE
.11 !J 11/67
.
JOB ADDRESS
-
J dJ,~ lie. H IIIk-
CONTRACTOR
f~ Nil'! {
-
$
CHECK 0' ALL APPLICABLE
USE CATEGORY
lfSingle Family ODuplex DMulti-Family
o Renta]
o Commercial
Dlndustrial
FUEL
14Gas
DOi!
OElectric DSolid
OSolar
SYSTEM
~ew
OOther
OReplace
.~PE
pForced Air
ORadiant
OSteam DAlC DVent OElectric
DHot Water OSuppL DCon. Burner
IS CHIMNEY BEING LINED'[]No DYes - LINER SIZE
Note: All chimneys shall he sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
PAs Approved
~As Per Plan
OChimney B
DExisting
o Variab Ie
ttIDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
N~w ~U~
If 5 Db qg
ELECTRICAL CONTRACTOR_ f.(!~ f'/-ec.Jnt..
o For applicable projects, an Electric Installation Verification form, signed by 'the Electrical Contractor, must be
attached. If not attached or not appJicable, a separate Electrical Permit is required.
VALUE (Including labor and materials) $
"J7- 50
10/04