HomeMy WebLinkAbout0133427-HVAC SHKOSH
ON THE WATER
Job Address 1031 BAY SHORE DR
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner WILLIAM L/BETH M LIPPERT
No 133427
Create Date 10/10/2008
Contractor SCHUH & MULRY HEATING & COOLING Category 502 -Residential-Both Plan
Fuel / Gas Oil Electric Solar
System ^/ New ~ ^ Replace ~ Other
/ Forced Air Radiant Steam _ ~_ A/C '~
Electric Hot Water ~ Suppl._ ~ ^1 Con. Burner '.
Chimney Type
Chimney A - --
Chimney B Direct Vent ______~ot Applicable j
Heat Loss As Approved Existing Not Applicable _ -- Value
BTU Rate As Per Plan Variable ~ Other Value
Use/Nature NSFR / 2 furnaces, zone systems, heat pumps, air filters, natural gas, vent range, rough in for future garage heater, 1 ERV. 1
of Work
I
Fees: Valuation $27,000.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $320.00
Date 10/10/2008
^ Permit Voided
Solid j
^ Vent
Parcel Id # 0805930000
In the pertormance of this work, I agree to pertorm 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 pertorm 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 2021 BADGER ROAD KAUKAUNA WI 54130 - 0 Telephone Number
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.
ity 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.
~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh ~T~~T 54903-1 1 28. Commencing work without permit(s) will result in fees being doubled or ~ 100.0 plus the
normal permit fee, which ever is greater.
OR
nd {~~uve nde4uale
DATE ~ ~ `~ ~- ~=-~
JOB ADDRESS 1 U^ 3 ~ ~~~„ ~,1,yr ~_ ~ r
O
C~
USE CATEGORY
6d'Singic Family ^Duplex ^Multi-Family
FUEL ®Gas ^Electric ^Solid
^Oil ^Solar
^Rental
~~
^Commercial
SYSTEM ®New
^Other
^Industrial
^Replace
TYPE
®Forced Air ^Radiant ^Steam ®A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Bun~er
IS CHIMNEY BEItiG LINED ^No ^Yes -LINER SlLE & MANUFACTURER
votes All chimneys shall he sired per the BTU's being vented.
CHIMNEY 'T'YPE ^Chimney A ^Chimney B
HEAT LOSS ®As Approved ^Existing
BTL' RATE ^As Per Plan ^Variable
Bother
DESCItIP'I'ION OF ALL WORK BEING DONE ~°~. - I~-u; ~ r~ it ~r fv rrx~. ~t > Z~ n e S ~; s7rv,~ s ~
\~ ~-Fa-~ {~v ~-.., ~ , ~ ~]r F~1Lfir• rs~ yr%,[~("t/ a t, c v ~,~-t- ~rU,r, u ~ r~ ~ a ~ h fo ,-
*--~ r-> > ~ G C
VALUE (Including labor and materis~ls) S / ~ C.~ ~ ~'
ELEC"1'RICAL CON'CRACT'OR _____- -- -- - ----------___.--
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.
^Uirect Vent
^Not Applicable
^Other Value
3 D,