HomeMy WebLinkAbout0098368 H ) CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1240 PHEASANT CREEK DR Owner RUSCH HOMES
Contractor CONDON TOTAL COMFORT Category 500 - Residential-Heating & Ventilating
Fuel b~J Gas I [~ Oil I [~ Electric I ~J Solar
System [] New I [] Replace
L~ Forced Air J L--J Radiant I ½ Steam I L~ NC I
II Electric I ~1 Hot Water I ~-Suppl. 1 ~-Con. Burner
Chimney Type ~.~ Chimney A ~I Chimney B ~ Direct Vent ~ Not Applicable
Heat Loss ~.~ As Approved ~ Existing ~I Not Applicable I Value
BTU Rate ~.~ As Per Plan ~ Vadable O Other I Value 50m btu
No 98368
Create Date 09/06/2002
Plan
[] Solid
[] Other
~_J Vent
Use/Nature
of Work
NSFPJ Install a gas furnace & ductwork.
Fees: Valuation $3,850.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided I
$63.50
Date 11/04/2002
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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- ' ," -' : -' ~ ~. ON THE WATER
HVAC P "',' ~ ' '
ALI information ed.
Incompl~-t~ applications will not b~ 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 t
If you ar'~'a contractor participating in'the Permit fee Account System and have adequate funds, check here
if you want this processed through Four account [~
JOB /o2J/0
co cro
C1TECK g~ ALL APPLICABLE
CATEGORY
/13lSingle Family F1Duplex I-IMulti-Family I-'lRental
F1Commercial
FIIndustrial
FUEL ~[~Gas VIElectric F1Solid SYSTEM /~ New FIReplace
· EIOil [] Solar Other
oE
reed Air []Radiant [3Steam [3A/C VIVent [3Electric [] Hot Water IZISuppl.[]Con. Burner
BEING LINED~.No [3Yes - LINER SIZE & MANUFACTURER
IS
CFllMNEY
Note: All chimeys shall be sized per the BTU's being vented.
CIa~VfiNEY TYPE []Chimney A /~Chimney B ~,__~Direct Vent []Other
ItEAT LOSS [3As Approved ' []Existing JKlNot Applicable
BTU RATE I-IAs Per Plan [3Variable / [3Other Value ,.>Q), /Lt,a) ~7-(.J,/~/
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
OR [3 Electric Installation Verification form aItached(lf Rcplaccmcnt)
Electrical installation of new/replacement equipment shall be done by licensed contractors.
I 02