HomeMy WebLinkAbout0127872-HVAC
G
OSHKOSH
ON THE WATER
Job Address 3210 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
127872
HV AC PERMIT - APPLICATION AND RECORD
Owner
CASEY'S MEADOW LLC
Create Date 10/02/2007
BTU Rate
GRANT SCHULTZ HEATING & COOLING Category ~9_- R~~entl1ll~H~ating~_'{~tiIClli~JL__
~ G~~:_~ 0:: Oil___==J U_ Ele_~~i~=:::::J IT::;~a~-:_~~_-=]
~f'J~\'J_ ________J On _R_eRla_c~__nn ______n_J
0"lorc~<[Air J D_Ra"dTanC_=_J O~!~~~=~~=~~~_: [J_~~~-
O:::.E~~~~__=-=J O=~L\NY1~r-=nJ D_~~pr::::::J D~9n'-Burner-
D:9I01ji~nTA==::__O:~~if!1.ri~y_B::nn .-n-: --n,--p}rec('Z~:C ---:-::0 Hci!:AeRli~~.t;I~:_-]
'--}\~.Appro\l~~==:==-ITE~~!!1g un::::::: :=====D_=~L~epfiC~El~====:] Value
-=Asj~~r Plan-====O_~riable__=::::==--=_ITQl~er=====:==== Value
Plan
Contractor
Fuel
D_:[oJi_~_=::
o Other
DVenf -- -
--,-~--.1
System
Chimney Type
Heat Loss
Use/Nature INSFR/ Sin-gle family~ 1 story, 3 car attached-garage-find 12'-x12patio~--------------_u_------------- -------1
of Work i
I
I
Fees: Valuation _____-.--!.~_OO.OO
Plan Approval $0.00
Permit Fee Paid __________EL~nQ
Date 11/19/2007
Issued By:
O/?~--<7
O_~ermit Vo~d!~
Parcelld # 1336090000
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 ?~~.o_2. - ?29.l3___ Telephone Number (9?_0L2l6::.:!~~__
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.
Nav 18 07 08:41p
Grant Schultz
920-237-4959
p.3
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-]]30
Phone (920) 236-5050
Fax (920) 236-5084
I':.~ --I::" .'/,;TFR'
HVAC PERMIT APPLICATION
AU infonnation after bold categories must be provided.
Incomplete applications will not be processed.
· Appl ication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI .54903- J 128. Commencing work without permit(s) will result in fees being doubled or $J 00.00 plus the
nonna! permit fee, which ever is greater.
OR
if VOll ('We! a con/rac/or DarliciDaring in the Permit fee Account Svstem and have adeqliate funds. check here
i vorl want rhis rocessed throu h vow' account
JOBADDRESS,a JD-mblltl~iYtL
OWNER i~~~ _:
CONTRACTOR 0rtJ1.7 ( jdJ-~ III H I/Ik-
DATE .}i J Ff/tfJ
CHECK 21' ALL APPLICABLE
USE CATEGORY
~ingle Family o Duplex OMulti-Family
o Rental
DCommercial
OIndustrial
FUEL
rgGas
DOil
OElectric DSolid
. DSolar
SYSTEM
~ew
o Other
DReplace
.~'PE
pForced Air
DRadiant
DSteam DAle DVent OElectric OHot Water DSuppL DCon. Burner
IS CHIMNEY BEING LINED1DNo DYes - LINER SIZE
Note: AU chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
(hl'As Approved
"tIAs Per Plan
DChimney B
o Existing
o Variable
mIDirect Vent DOther
DNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
rv~.w ~V~
If $(jD~
:ELECTRICAL CONTRACTOR _ [C ~ f,'I-ec:irit.
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
VALUE (Including labor and materials) $
7750
10/04