HomeMy WebLinkAbout0153412 - HVAC (new duct work) 0 CITY OF OSHKOSH No 153412
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1527 1529 OREGON ST Owner ELIZABETH A SCHOENBERGER Create Date 11/07/2012
Contractor GRANT SCHULTZ HEATING&COOLING Category 512-Ind. &Comm-Both Plan FILE-3663-1112
Inspector Nicole Krahn
Fuel ✓❑ Gas H Oil 1 ❑ Electric ❑ Solar Li Solid
System ❑ New J ❑ Replace ❑ Other
✓j Forced Air ❑—Radiant ❑ Steam ❑ NC j ❑ Vent 1
H Electric
❑ Hot Water Li Suppl. U Con. Burner 1
Chimney Type ChimneyA 0 Chimney B • Direct Vent O Not Applicable
Heat Loss • As Approved O Existing O Not Applicable Value _
BTU Rate 0 As Per Plan O Variable 0 Other Value
Use/Nature COMM/NEW HVAC&DUCT WORK **check#4914
of Work
ii
Fees: Valuation 1$8,250.00 Plan Approval $0.00 Permit Fee Paid $134.50
Issued By: 3-MLA..) Date 11/07/2012
❑ Permit Voided 1 Parcel Id#0902200000
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 enf easement restrictions of which it is not a party, if you perform the work
described in this permit a pli ation within, n ea ent,/ e City strongly urges the permit applicant to contact the easement
holder(s)and to secure ny ecessary aj�lprov I befor startin.�-uch - ' ' .
Signature G c. Date I' o �----
t
Agent/0 •
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.
City of Oshkosh
Division of Inspection Services
Box
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER
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 f e Account System and have adequate funds, check here
if you want this processed through your account Fin
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
/r7/
JOB ADDRESS C•249 e �
C (. \�OWNER td'' t Afietrer‘ZV-- /---- " •\\
CONTRACTOR -/� ate /
CHECK Ed ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental I,tCommercial ❑Industrial
FUEL Was ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED Lo ❑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 RiAs Approved ❑Existing ❑Not Applicable
BTU RATE ficAs Per Plan ❑Variable ❑Other Value
DES TION//SCOPE OF ALL W BE G DONE
VALUE (Including labor and materials) $ g;47/,
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
LICIN 07/07