HomeMy WebLinkAbout0099899-HVACOSHKOSH
ON THE WATER
1320 COLUMBIA AVE
GRANT SCHULTZ HEATING & COOLING
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner O'NEILL ENTERPRISES INC
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99899
02/20/2003
Other
Vent J
Use/Nature NSFR/LATE PERMIT/New furnace and duct system.
of Work
Fees: Valuation
Issued By:
$4,150.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$68.00
Date 02/20/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1411 S MAIN ST Oshkosh WI 54902 - 0
Telephone Number
(920) 216-1616
City of Oshkosh
Division of Inspection Services
· PD. Box 1130
Oshkosh, X3FI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Of HKO/H
ON T~E WATER
Application(s) and fee(s) can be brought to City Hall, l~oom 205 or mailed to Inspection Services, PO Box ! 128,
Oshkosh WI 54903-! t28. 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 you qre..a contractor participating in the Permit/ge Jccount System and have..a.dequate funds, check here
if YOu wantthispr°cessedthr°ugh ¥°uracc°unt~' '" F3
· t ATE ~ '~
cHECK I~ ALL APPLICABLE
USE CATEGORY
[~Sin~e Fam!ly FIDuplex UIMulti-Family FIRental f-lCommercial Dlndustrial
FUEL ~[,Gas V1Electric F1Solid SYSTEM [~New FIReplace
ElOil [3Solar F1Other
oE
rced Air IEIRadiant ElSteam EIA/C [3Vent FlElectric F1Hot Water ElSuppl. UICon. Burner
IS CmMNEY BEING LINED J~No [:],Y. es - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized pdt the BTU s being vented.
CHIMNEY TYPE FIChimney A ElChimney B [~(Direct Vent F1Other
HEAT LOSS EIAs Approved UlExisting [3Not Applicable
BTU RATE I-lAs Per Plan FIVariable Fl'Other/~alue /j
DESCRIPTION OF ALL WORK BEING DONE, /~/e~?-1~/'''4 ~'/~f'~-/daC-'~
YALUE (including labor and all materials including light fixtureO $
ELECTRICAL CONTRACTOR
OR ~ Electric Installation Verification form attached(If Replacement)
Electrical instMlation of newh'¢placentent equipment shall be dane by licensed co~rtractor~.
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