HomeMy WebLinkAbout0098370 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
1220 PHEASANT CREEK DR
CONDON TOTAL COMFORT
Gas I
[] New
~ Forced Air j
~ Chimney A
~ As Approved
~(~ As Per Plan
Oil
Radiant
~ Hot Water
Chimney B
~ Existing
¢.~ Variable
Owner THOMAS N RUSCH
Category 501 - Residential-Air Conditioning
E~ Electric 1 I I Solar
[] Replace I
L_I Steam I I_d ~/c i
L~ Suppl. i L~ Con. Burner
O Direct Vent ~.~ Not Applicable I
O Not Applicable I Value
~1 Other I Value
No 98370
Create Date 11/04/2002
Plan
[] Solid
[] Other
Vent
0
Use/Nature
of Work
IFF{/
Install a 2 ton NC system.
Fees: Valuation
Issued By:
$1,375.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$26.00
Date 11/04/2002
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 -184 Telephone Number
(920) 748-5050
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 dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through Four account
JOB ADDRESS
Cl:W~CK [] ALL APPLICABLE
USE CATEGORY
'~Single Family r-iDuplex
F1Multi-Family
DATE
F1Rental F1Commercial Fllndustrial
FUEL
J~as FIElectric F1Solid SYSTEM ,,~ew I-IReplace
Flail FISolar FIOther
ced Air FIRadiant F1Stea C FIVent F1Electric F1Hot Water U1Suppl. FICon. Burner
IS CIIIMNEY BEING LINED/~No I-lYes - LINER SIZE & MANUFA~R
Note: All chimneys Shall be sized lffer the BTU's being vented.
CilIMNEY TYPE ~Chimney A /k-~Chirnney B F1Direct Vent mOther
ttEAT LOSS mAs Approved F1Existing /l~Not Applicable
BTU RATE [3As Per Plan FlVariable BOther ValUe ~
DESCRIPTION OF ALL WORK BEING DONE
/-
VALUE (Including labor and all materials including light fixtures) $ /l~2,,J~, --
ELECTRICAL CONTRACTOR~.~~~ OR [] EIt~trl¢ Installation Verification form Iltich~.d([f Replacement)
Electrical installation of new~replacement equipment shall be done by licen:~ed contractors,
1/02