HomeMy WebLinkAbout0132203-HVACI~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Joh Address 3150 BAILEY CT 0 R S
Contractor
caner UCH HOMES LLC
GRANT SCHULTZ HEATING & COOLING Category 502 -Residential-Both
No 132203
Create Date 08/12/2008
Plan
Fuel / Gas
0--~ Oil Electric
_-
Solari Solid
~ J
System ~/ New ~ ~ Replace ~ Other
_ _-- - _ _ -
/ Forced Air Radiant !~ Steam_ _ J
- - ~ Q A/C -', Q Vent
Electric Hot Water ' _Suppl. _ ~ Con. Burner '.
Chimney Type Chimney A Chimne B Direct Vent Not Applicable J
Heat Loss As Approved Existin ' Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature SFR/ Hvac for new house. ~,
of Work
Fees: Valuation $4,500.00 Plan Approval
Issued By:
Permit Voided
Date 08/12/2008
Parcel Id # 1342950600
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 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.
$0.00 Permit Fee Paid $77.50
VI\~ Vl VJ1lI~VJ11
Division of Inspection Services
P.O. Box I [ 30
Oshkosh, W[ 54903-I 130
Phone (920) 236-5050
Fax (920}23G-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OlHKO.lI-I
~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box i 128,
Oshkosh WI 54903-1 128. 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 -vant this processed
CONTRACTOR
~?~~ ~~ _
CIiECK ~ ALL APPLICABLE
USE CATEGORY
~Sinbte Family ^Duplex
^Multi-Family
FUEL ;L11CraS ^Electric ^Solid
17011 ^Solar
DATE ~• 7~
^Rental ^Cornmercial
SYSTEM New
^Other
c
^Industrial
^Replace
TYPE
Forced Air ^Radiant IJSteam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
1S CHIMNEY BEING LINED Flo DYes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY 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~~Ia(,[) ~V !TV j /~ ~~~i/~ ~l
p~G
VALUE (Including labor and materials) $ ~~ ~ ~t~ `~
ELECTRICAL CONTRACTOR ~ _ ' ~ C
For applicable projects, an Eiectric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
(.~d 65617-LEZ-OZ6 ~In4oS ;uea0
10/09
~SZ~80 80 Z6 13
JOB ADDRESS ' ~ ~v