HomeMy WebLinkAbout0103263 HOSHKOSH
ON THE WATER
.lob Address 1235 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 501 - Residential-Air Conditioning
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O 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
~ Solid
103263
08/01/2003
Other ]
Vent
Use/Nature SFR/Install 1.5 T A/C system.
of Work
Fees: Valuation $1,450.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: Date 08/01/2003
Permit Voided
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
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.
F~x.'~':(~2o)-236:~o~ ,.-.,.......
HVAC PERMIT APPLICATION
All information ~r bold ~tegofics m~ be provided.
Incomplete applications will not be proccsscd.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
O~hkosh WI 54903-1128. Commencing work without mt(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ouareacontractor artici atin i~the Permit eeAccount S stem and have ade uate un;s ~L__,.-
i ou want this rocessed throu h our account ,.-nec'~c nere
OB ADDRESS--Jq'o ?T.~
CltECK ~ ALL APPLICABLE
CATEGORY
ngle Family I-IDuplex
IDMulti-Family rl'-IR~ntal i-lCommercial I-Ilndustrial
FUEL FIGas F1Electfic ElSolid SYSTEM ~ooew FIReplace
FIOil F1Solar
ther
TYPE
[21Forced Air [2]Radiant r-ISteam~C F1Vent FIElectrie F1EIot Water r"lSuppl. F'lCon. Burner
IS CI::[I~NEy BEING LINED I-INo I-lyes _ LINER SIZE &
Note: Ail chirrmeys shall be sized per the BTU's being ,~:~t~
CHIMNE'x' TYPE [DChimney A ~y B []Direct Vent [] ,
LOSS C As
r,.',- ....... ~stmg []Not Applicable
o,u t',~te...~......~,.3A-S~er Plan [2]Variable F'lOther ',~ait~
DESCRIPTION OF~ ALL WORK BEING DONE
"'Al.liE (IncludinR I~l,or .,,d .II ,,,slerisls inclmling light fixtures) $ /~ -
KI,E("I'RI('A[. ('()NTRAt'T()R. .......... O~ I ] [Itqlrlc Installation