HomeMy WebLinkAbout0131497-HVACI, CITY OF OSHKOSH No 131497
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
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Job Address 975 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 05/12/2008
Contractor GRANT SCHULTZ HEATING & COOLING Category 500 -Residential-Heating 8~ Ventilatin~_ Plan
Fuel / Gas Oil _~ Electric _~ Solar __ Q Solid
System a New ~ ', ~ Replace ~ ~ Other _
/ Forced Air Radiant ' ~] Steam ~ A/C _~ ~ Vent_
Electric Hot Water ~, Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing ' Not Applicable Value
BTU Rate
UselNature
of Work
~ As Per Plan OVariable ', OOther
Attached Garage: 1 story, 1320 sf, 462 sf garage,
Fees: Valuation $4,500.00 Plan Approval
Issued By:
Value
$0.00
Permit Fee Paid $77.50
Date 07/14/2008
Permit Voided
Parcel Id # 1342952500
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
WI 54902 -7298 Telephone Number (920) 216-1616
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.
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14 08 08:12a Grant Schultz
City of Oshkosh
Division of Inspection Sen~ices
P.O. Box 1130
Oshkosh, WI 54903-7130
Phone (920) 236-5050
Fax X9201236-5084
920-237-4959 p.1
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O` H F 1•.~Al F R
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications wilt not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services
Oshkosh VVI 54903-1 128. Commencing work without permit(s) will result in fees being doubled
normal permit fee, which ever is greater.
'O Box 1128,
~r $100.00 plus the
rnds. check here
DATE , - 1 ~
^Commercial ^Ii lustrial
FUEL Gas OElectric ^Sold SYSTEM ~1Vew ^Repla
^Oil ^Solar ' DOther
TYPE
Forced Air ^Radiant ^Steam ^A/C DVent ^Electric ^Hot V4'ater ^Suppt. C . on. Burner
1S CHIMNEY BEING LINED t$IFio ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIII7NEY TYPE ^Chimney A ^Chimney B ]'Direct Vent ^Other
HEAT LOSS As Approved ', ^Existing ^NotApplicable
BTU RATE ~'As Per Plan ~ ^Variable ^Other Value
DESCRIPTION OF ALL WORK BEING DONE~~__(~) ~-I lr ITV j~S,~I~I
/ // ~~ try
VALUE ([ncludina labor and materials) $ I~ ^~ ~ V~ `~
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ELECTRICAL CONTRACTOR ~ ~ C S'
^ For applicable projects, an Electric Installation Verification form, signed by the Electrical C ~ tractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
io;oy
CHECK D ALL APPLICABLE ~I
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USE CATEGORY
~SingIe Family ODuplex ^Multi-Family ^Rental
~oB ADDRESS ~~~f.Y~l'~G' I Jrl~1,~