The URL can be used to link to this page

Home My WebLink About0104851-HVAC (furnace)OSHKOSH ON THE WATER .lob Address 2460 PARKSIDE DR Contractor Fuel ~ Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD GRANT SCHULTZ HEATING & COOLING Oil Owner MR/MRS KEVIN E UHEN Category 500- Residential-Heating & Ventilating L~ Electric Replace Forced Air I ~J Radiant Electric I I~ Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 104851 10/20/2003 Other J Vent J Use/Nature SFR/Replace furnace. *EIV form from homeowner. of Work Fees: Valuation Issued By: $2,400.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $41.00 Date 10/20/2003 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 1411 S MAIN ST Oshkosh WI 54902 - 6519 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 Osb. kosh 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 mast be provided. Incomplete applications will not be pxocessed. normal permit fee, which ever is greater. OR ![vou are a contractor participating in the Permit1 ~ee if yOU want this orocessgd through vottr occou~t ~ OWNER d~,' CONTRACTOR $ a/g C- CHECK [] ALL APPLICABLE ESF CATEGOa¥ ~$ingle Family UlDuplex r'~Multi-Family Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to inspection Services, PO Box 1128, Oshkosh WI 54903-! 128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the I:lRental Account System and have adequate funds, check here FICommercial FlIndustrial FLrEL ~Gas ~Electric FISolid SYSTEM r'tNew FIReplace 'U/Oil F1Solar F1Other ~Forced )dr UIRadiant FISteam rqA/C FtVent FlElectric ZlHot Water FISuppl. FICon. Burner IS CI-'RMNEY BEING LINED ~No F1,y. es - LINER SIZE & MANUFACTURER Note: All chinmeys shall be sized per the BTU s being vented. ~Chimney A IDChimney B ~/Direct Vent VIOther CHIMNEY TYPE HEAT LOSS V1As Approved [3Existing [2Not Applicable BTU RATE I-lAs Per Plan I~Variable ~Other Value DESCRIPTION OF ALL WORK BEING DONE VAJL,I.J~ (Including labor and all materials including light fixtures) $ ELECTRICAL CONTRACTOR~d]//~J/~t" OR CI Electric Installation Verification form attached(If Replacement) I'd E,~iSt~-LE. EIOE~,I :3/H '~ ~2H zo. InqoS ~ue'.~o eLI:S0 gO 0i~ ~.o0 O~t 20 03 09:17a ~ant $chultz HtC & R?C (920}237-49S9 (We) K Vt tq Electric Installation Verification (print hom~cowner(s) ,limo (add~ess where work is to be performed) accept the reapons%ility for performing the electrical work as stated below for the property listed above. The nature of the work consists of (Cheek O~e or Desen'be the Nature of Work) ~ Reeonneetion or new circuit for replacement Heat/ng Plant and/or A/C Condenser. __ Recormeetion or new circuit for replacement Electric Water Heater or power vented water heater. -. Reconneetion of the Servico Entrance Cable, Meter Box, alterations to reeaptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fixtures. __ New circuit for the addition of A/C to an individual dwelling unit, including required service elec~cal outlets. Note: Homeowner, can only do their own electric on a ~ingle far~ily owner occupied itome. Work on a condominium, duplex, rental, or multi-use building would require a licensed master electrician. Other The value of this work is I hereby verify this work will be performed by me and further verify the reeonnecfion / installation will be done in eom/~mce with manufacturer and Electric code requirements.