HomeMy WebLinkAbout0127873-HVAC
G
OSHKOSH
ON THE WATER
Job Address 955 JOHN MOORE DR
CITY OF OSHKOSH
No
127873
HV AC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 10/29/2007
Contractor
GRANT SCHULTZ HEATING & COOLING
Category ~OQ~B€)_si<.Le.':Iti~!::I:i~~Jiil(1~\I~I1!!!Cl!l~[ __ Plan
BTU Rate
0(3 as DC5II-i 0- Electr@"=J U Solar~~_=~~ D~~[6Wd=-=n= _.'
0-t-Jew J O.-B€)plac~_____n____nJ D_Ot~e.r
[![F~~ DRadTanr---=:J [IsTeam---::=J DJVC-----~:=j O:-vent- -=]
ITE~e.~~~ ITHot Watef:] U_~uppL_~.-J O..Qon. .[~r0€)fJ
D_C;_him ne'L~_n~_O~t1im neys---__=~=__I2!r~;c['I[ent__...~n___D=~~.t_eR:i1~~ble=~]
..~~~1_pprove.d _~=~':=O~xjsting~=:~ ==~=_=_~==Q.!i()T6ijrr~Cl~~==~-~] Value
_=ES-:-fier Pla~==~===O_'..firi~~~: ='=.:~=~===-D~oih~~--==.=~====] Value
Fuel
System
Chimney Type
Heat Loss
Use/Nature INSFR/- New s inglefamlly*witil-Z-car allachedg arageand1 ,Fx 14'patlo.' -Thed rivewaywTlfbe20'wCde.
of Work !
I
I
I._____.n.____~____.n.________..._.______..._ _....___n._____._____..__.._._..____. .n. ...__.n__'_._ n..]
Fees: Valuation .._n_n_~n~O~.OO
Issued By: ~.-J(J
Plan Approval $0.00
Permit Fee Paid
..___E7,?.9
Date 11/19/2007
O_~erm.il.'.,I.o.ided
Parcelld # 1342952600
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
(9?g)}16~1~1~_
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
pA
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI S4903-1 130
Phone (920) 236-5050
Fax (920) 236-5084
.::'. --I=: '.'l..,h-R
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 WI 54903-1 ]28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nannal permit fee, which ever is greater.
OR
If VOll ore 0 contractor Dorticioatil1$! in the Permit fee Account Svstem and ha....e adeQuate fUlids. check here
i VOII wan! this ,'ocessed throll. h vour account .
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ing)e Family o Duplex o MuLti-Family
JOB ADDRESS
OWNER
CONTRACTOR
FUEL
~Gas
DOil
-~E
~Forced Air
Cf s5~ol1 VI. Y)1'cVl'"e
_Qu.J' J..... . _ :.
/'nrYn"J1 Jih~ III !Illite-
DATE
1J / J f I tn
.I .
o Rental
OCommercial
Dlndustrial
DElectric DSolid
DSoLar
"@-Jew
DOther
SYSTEM
OReplace
o Radiant
DSteam DAlC OVent OElectric
DHot Water DSuppL Deon, Burner
IS CHIMNEY BEING LINEDlDNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RA'rE
& MANUFACTURER
DChimney A
IO'As Approved
'tIAs Per Plan
~irect Vent o Other
DNot Applicable
DOther Value
DChimney B
DExisting
OVariable
DESCRlPTION OF ALL WORK BEING DONE
fV,p.w ~ U ~
iJr6oC!1
ELECTRlCAL CONTRACTOR _ ftJ ~'I-e c'/-nt..
o For applicable projects> an EI~ctric Installation Verification form, signed by the Electrical Contractor, must be
attachecL If not attached or not applicable, a separate Electrical Permit is required.
VALUE (Inc:lUdZDg labor aDd materials) $
.77 50
10/04