HomeMy WebLinkAbout0099912-HVACOSHKOSH
ON THE WATER
,Job Address 1906 MITCHELL ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GRANT SCHULTZ HEATING & COOLING
Oil
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
99912
12/11/2002
Other
Vent J
Use/Nature NSFR/ LATE PERMIT/Install HVAC system for new home.
of Work
Fees: Valuation
Issued By:
$4,100.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$66.50
Date 02/24/2003
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
P.O. Box 1130
Oshkosh, WI 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.
O/HKO/H
ON THE WAT~:R
Application(s) and fee(s) can be brought to City Hall, 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit~ee Account System and have adequate funds, check here
if you want this processed through your account [Xl
!
DATE
CHECK [] ALL APPLICABLE
SE CATEGORY
ingle Family V1Duplex
V1Multi-Family
V1Rental V1Commercial Fllndustrial
FUEL ~Gas F1Electric V1Solid SYSTEM j~llNew FIReplace
mOil [] Solar F1Other
ced Air []Radiant F1Steam V1A/C FIVent i:]Electric
IS CHIMNEY BEING LINED [~No []Yes
LINER
SIZE
Note: All chimeys shall be sized pert:'the BTU's being vented.
F1Hot Water []Suppl.
& MANUFACTURER
[:lCon. Bumer
CItlMNEY TYPE []Chimney A F1Chimey B [~l~Direct Vent
HEAT LOSS F1As Approved F1Existmg FINot Applicable
BTU RATE VIAs Per Plan F1Variable VIOther Value
/4/z
BOther
VALUE (Including labor and all materials including light fixtures) $
[] 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.
9/02