HomeMy WebLinkAbout0103758-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 2050 PARKSIDE DR
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner RUSCH HOMES LLC
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
103758
08/27/2003
Other J
Vent J
Use/Nature SFR/Install 2 ton A/C system.
of Work
Fees: Valuation
Issued By:
$1,375.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 08/27/2003
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 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.
HVAC PERMIT APPLICATION
AH information al%-r bold categories rm,~ b~ provided.
Incomplete applications wflJ 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 pei,,dt(s) will result in fees being dbubled or $100.00 plus the
normal p¢..it fee, which ever is greater.
OR
I ouar~a contractor artici atin 'n'the Permit eeAccount'
i ou want this rocessed throb h our account ...... an. nave ade bate unds check here
* D SS__ VO.w
CHECK ~ ALL APPLICABLE
E CATEGORY
ingle Family UIDuplex U1Multi-Family .F1Re;ntal UlCommercial Dlndustrial
FUEL [3Gas U]Electric F'lSolid SYSTEM l~New F1Replace
f-lOll g]Solar DOther
TYPE
ClForced Air UIRadiant UlSteam~AJC C-IVent F1Electhc r"lHot Water ClSuppl. E]Con. Burner
IS CHIVy BEING LINED iDNo iD ,y,es . LINER SIZE & M,g'4-tfFA~R
Note: All ckirnneys shall be stzed per the BTU~
CH][MNEy TYPE U}Chi~ f-iChimnt-v n
' ~A [2Chirnney B I-IDirect Vent
~LEAT LOSS ~}'A'g A oDroved ~ g~i~;,~,,' m ~-, :,' U]Other
ttTU RATE C-~'~"~ff~SX'SJ~? F1NoI Applicable
~txs rer man LJvariable IqOther Value
I)ESCRIPTION OF ALL WORK BEING D(SNE ,
I,I':('TP, I('AI. ('()N'I'RA('T()II .......... OR [ } Elcclrlc InslaHsllof~ \ cHflcstton form