HomeMy WebLinkAbout0102846 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
102846
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1215 PHEASANT CREEK DR
Owner
RUSCH HOMES LLC
Create Date 04/25/2003
Contractor
CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating
Plan
1 I Oil
I
1 I Solar
1 I Solid
Fuel
1,(1 Gas
1,(1 New
1 I Electric
1 I Replace
I
1 I Other
I U Vent
I
System
l..j Forced Air
1 I Electric
Chimney Type 10 Chimney A
U Radiant
1 I Hot Water
. Chimney B
U Steam
1 I Suppl.
U A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
Heat Loss
10 As Approved
10 As Per Plan
0 Existing
0 Variable
. Not Applicable
. Other
Value
0
BTU Rate
Value
75m btu
Use/Nature NSFR/ Install gas furnace and duct system, with 11 suply, 5 return & 1 supply in basement.
of Work
Fees: Valuation
$3,850.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Issued By:
Date 07/15/2003
U Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
11 BLACKBURN ST
RIPON
WI 54971 -184
Telephone Number
(920) 748-5050
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,0< HVAC PERMIT APPLICATION Ô~~J'Q
AU information after bold categories must be provided, (~ 'X'
Incomplete applications will not be processed, ~
/ÞJ'
. 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 pennit(s) will result in fees being doubled or $100.00 plus the
oonnal permit fee, which ever is greater. '
OR i
I au are a contractor artici atin in'the Permi!..L.ee Account S stem and have ade uate unds check here
¡(YOU want this Drocessed throup"h your account U
DATE 7//04.7'
JOB ADDRESS /c¥/S ~ ~ J!lu
OWNER ~-¥'tf: ~~ U¿
CONTRACTOR I Ã.L '- ð:.tr:"ðÝ.. {?õYl--~ 1: {1--.{y
f
CHECK ~ ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex
OMulti-Family
.OR€;ntaI
OCommercial
0 Industrial
FUEL
N.as
/doil
DElectric DSolid
DSoiar
SYSTEM
~ew
/ÒOther
DRepIace
po~ed Air DRadiant DSteam DNC OVent DElectric DHot Water DSuppI.DCon, Burner
IS CHIMNEY BEING LINEDffÑo DYes - LINER SIZE & MANUFACTIJRER
Note: All chimneys shall be sized per the BTU's being vented.
CIDMNEY TYPE DChimney A ßChimney B
HEAT LOSS OAs Approved DExistiog
ßTU RATE DAs Per Plan OVariable
gDirect Vent DOther
ÆNol Applicable ,.1f --:D"77. / /
DOther Value /~ N.-iJ 19 /(/,,(,,1
DESeRn",,", O' Aï~V~~ ~ ~ !:'..'f£ 1:/ / ÓélJ;¡¡;"',
VALliE (lI\rludillg I.hur .nd .11 Imlrri.ls indlldillg lighl fixlures) $35'd\R2_:-: ,
J.:LECTRI('AI. ('O"TRA( TO~ OR II EI«1r1c Installa!!on \ "IO"!!"n form a"arh"'111 Rool"'n""'"
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HVAC Permit Work Card
Job Address 1215 PHEASANT CREEK DR Permit Number 102846 Create Date 04/25/2003
Owner RUSCH HOMES LLC Contractor CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating Plan
Fuel ~J rnc:::J I I Electric I ~ ~ Value $3,850,00
System [7] New. I n Replace I nOtl1er I
~ Forced Air I U Radiant I U Steam I U AIC I U Vent I
U Electric I U HotWater I U Suppl, I U Con, Burner I
Chimney Type D Chimney A . Chimney B 0 DirectVent 0 Not Applicable I
Heat Loss D As Approved 0 Existing . Not Applicable I Value 0
BTU Rate D As Per Plan () Variable . Otl1er I Value 75m btu
Use/Nature NSFRIlnstall gas furnace and duct system, with 11 suply, 5 return & 1 supply in basement.
o/Work
InspectIons:
Date 12/3/03
Type Final
Inspector Nicole Krahn
approved
DatelTime requested:
Notice Type:
Phone Number:.
Access:
Ready DatelTime:
Requested By;
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
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