HomeMy WebLinkAbout0128052-HVAC
G
OSHKOSH
ON THE WATER
Job Address 2003 MOUNT VERNON ST
CITY OF OSHKOSH
No
128052
HVAC PERMIT - APPLICATION AND RECORD
Owner TIM MC BRAIR
Create Date 10/17/2007
Contractor
GRANT SCHULTZ HEATING & COOLING
Category 500 -J3El~dentic;l-,=-Heating_~ Ventilatif!L_
Plan
Fuel
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[?:I New
~!orced Air::J
O-ElectriC-j
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DEleelric---:=J
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D:_~()I~~_===~i
System
~
U Radl~-'-_~:~]
O::HOtwater-J
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D_.~iE3j.'ii=:~==:J D=AiC..:~.===J
QSUPEC===J D=~SJ:6.:~U!~~]
_._Qlr~_ct V~f!.L____=a_f'!OtAEPlicable _:===
.----T'\j\Ff-ATbl--~
"______v.-'-~'__.Efl_'_c~~____!
.__--=rJ Other ______J
Other
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Chimney Type
Heat Loss
U Chimney A 0 Chimney B
_-As Approved C) Existing
__.4.S Per PI~n_--D Variable
Value
BTU Rate
Value
Use/Nature NSFR/ New single family' 1 story, 2 car attached garage and 12' x 12' patio and 20 wide concrete driveway.
of Work'
'---'1
!
Fees: Valuation
"". m_J~,~.9.9-,-OO
~
Plan Approval
$0.00
Permit Fee Paid
$88.00
Issued By:
Date 12/05/2007
O_~~rmit Voj9~~
Parcelld # 1515420000
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
AgenVOwner
Address
55 CRIMSON LN
OSHKOSH
WI 54902 - 7298 Telephone Number
t9~0)_~~~~16~_.__
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.
~ 04 07 10'30p Grant Schultz
~f g~,~::'~;;:~otion Serv;o"
P.O. Box] 130
Oshkosh, VVl54903-ll30
Phone (920) 236-5050
Fax (920) 236-5084
920-237-4959 p.1
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOfH
ON ~...~ WArn:
.
Application(s) and fee(s) can be brought to City HaJJ, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 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
ou are a conlraetor artici arin in the Permit
ou want lhi.f rocessed throu h 'our account -
check here
I
JOB ADDRESS 9 (;o~ "lnl 01/JLt'J'L,
OWNER --{ tfhl ~ (t 81.tA.v
CONTRACTOR (9('~J1j. JdUlfl.z /I/lI1C.) t ((
DATE
I;) IV/()J
J f
CHECK I~LALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex DMulti-Family
DRental
DCommercial
o Industrial
FUEL ~Gas
DOil
DElectric OSolid
o Solar
SYSTEM
&tNew
OOther
o Replace
~'YE
~'orced Air o Radiant DSteam DAle DVent DElectric
IS CHIMNEY BEING LINED"@No DYes - LlNER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
DHot Water OSuppl. DCon. Burner
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B 'geirect Vent DOther
HEAT LOSS ps Approved DExisting DNot Applicable
BTU RATE '~s Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE--f\J~lJ) ~t/~
V ALU E (Including labor and materials) $ S d 60 ~
ELECTRICAL CONTRACTOR 1)udJ t)~clll'z... .
o For applicable projects, an Electric [nstallation Verification fonn, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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