HomeMy WebLinkAbout0101243 HOSHKOSH
ON THE WATER
,Job Address 1910 MITCHELL ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GRANT SCHULTZ HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner O'NEILL ENTERPRISES INC
Category 502- Residential-Both
Electric
Replace
Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101243
12/11/2002
Other
Vent J
Use/Nature NSFR/ LATE PERMIT/
of Work
Fees: Valuation
Issued By:
$3,950.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$165.00
Date 05/05/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1411 S MAIN ST Oshkosh WI 54902 - 0
Telephone Number
(920) 216-1616
OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature
of Work
1910 MITCHELL ST
GRANT SCHULTZ HEATING & COOLING
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner O'NEILL ENTERPRISES INC
[] New
Ed Forced Air I LJ Radiant
[] Electric
Category 502- Residential-Both
L._J Electric
E~ Replace
LJ Steam
[] Suppl.
Chimney A ~ Chimney B ~1 Direct Vent
As Approved ~_ Existing O Not Applicable
As Per Plan ~ Variable ~1t Other
NSFR/ LATE PERMIT/
LI Solar
L-J Nc
[] Con. Burner
Not Applicable I
I Value
I Value
No 101243
Create Date 12/11/2002
Plan
_E~_ ~'d~er I
Vent
Fees: Valuation
Issued By: ~
$3,950.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
In the perf°rmance °f/t~,,~/f°~rk., ~ ag.~i~ t°~°r ,~a~l w2~ursuant to rules governing the described construction.
Si.nature Date
~,. gentJOwner
Address 1411 S MAIN ST Oshkosh WI 54902 - 0
Telephone Number
$165.00
Date 05/05/2003
(920) 216-1616
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
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
I£ vou are a contractor participating in the Permit fee.~dccount System and have adequate funds, check here
i£ you want this processed through your accoun~]~
DATE
JOBADDRESS I?IO
CHECK [] ALL APPLICABLE
gE CATEGORY
ingle Family I-IDuplex F1Multi-Family F1Rental
FICommercial
IZllndustrial
FUEL J~rGas []Electric F1Solid SYSTEM FINew []Replace
I30
il FISolar F1Other
ced Air F1Radiant []Steam []MC F1Vent F1Electric
IS CHIMNEY BEING LINE ~D~o [DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
F1Hot Water FISuppl.
& MANUFACTURER
I-1Con. Burner
CHIMNEY TYPE [DChimney A FIChimney B ~]Direct Vent
HEAT LOSS F1As Approved FIExisting U1Not Applicable
BTU RATE F1As Per Plan F1Variable F1Other Value
[]Other
VALUE (Including labor and all materials including light fixtures) $ ~'~ .
[] 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.
9/02