HomeMy WebLinkAbout0144112-HVAC C I) CITY OF OSHKOSH No 144112
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3780 PARKVIEW CT Owner TIM M /CHERYL A MCBRAIR Create Date 04/30/2010
Contractor GRANT SCHULTZ HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas U Oil J Electric U Solar ❑ Solid
System ❑ New 1 121 Replace 1 ❑ Other I
Li] Forced Air J Radiant U Steam ❑ A/C ❑ Vent
Li Electric 1 U Hot Water U Suppl. J Con. Burner
Chimney Type ; ) Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved O Existing O Not Applicable Value
BTU Rate ' As Per Plan • Variable Other Value
Use /Nature NSFR/ New single family* 2 story, 3 car attached garage, 16'x16' concrete patio, driveway and sidewalk. LATE PERMIT. * *debit acct
of Work
Fees: Valuation $6,100.00 Plan Approval $0.00 Permit Fee Paid $203.00
Issued By: (� Date 11/17/2010
❑ Permit Voided I Parcel Id # 1533090100
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.
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 Of CJH
,VATF I
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 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 e
DATE
JOB ADDRESS 37 ?S D PS , X Ike / GJ
OWNER in e grra
CONTRACTOR b t f /fr4c
CHECK El ALL APPLICABLE
U E CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL gGas ❑Electric ❑Solid SYSTEM gNew ❑Replace
Oil ❑Solar ❑Other
•
F PE
orced Air ❑Radiant ❑Steam ❑AJC ❑Vent ❑Electric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED Yo ❑Yes - 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 QNot Applicable
BTU RATE As Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE /Veil,/ 6 / /`f j/4 C C • j 1-4 y?
VALUE (Including labor and materials) $ T 6 l
tai
ELECTRICA CONTRACTOR gl4
❑ 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.
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