HomeMy WebLinkAbout0098369 HOSHKOSH
ON THE WATER
,Job Address 1260 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel Gas
System [] New
~J Forced Air
[~ Electric
Chimney Type ~ ChimneyA
Heat Loss ~.~ As Approved
BTU Rate ~.~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES
Category 500 - Residential-Heating & Ventilating
~J Oil I [] Electric 1 [] Solar
[] Replace I
b-J Radiant I ~1 Steam I L_I NC
~J Hot Water I ~ Suppl. I ~--Con. Burner
Chimney B ~ Direct Vent ~ Not Applicable I
¢,~ Existing O Not Applicable I Value
~ Variable ~t Other I Value 75m btu
No 98369
Create Date 10/01/2002
Plan
1 [] Solid
[] Other
Vent
Use/Nature NSFR/ Install gas furnace & a duct system.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$65.00
Date 11/04/2002
In the pedormanceofthiswork, I agree to perform allwork pursuantto rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number
(920) 748-5050
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. 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 ar'e a contractor participating in'the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOBnOOR SS
cErECK [] ALL APPLICABLE
DATE
USE CATEGORY ':'
~i~Single Family FlDuplex I-IMulti-Family FlRental r']Commercial
l-IIndustrial
FUEL j~'Gas UIElectric I-1Solid SYSTEM /[~fNew []Replace
[]Oil fi solar []Other
ced Air []Radiant []Steam [A/C []Vent U1Electric []Hot Water []Suppl.[]Con, Burner
IS CtIIMNEY BEING LINEDj~No []Yes - LINER SIZE & MANUFACTURER
Note: Ail chinmeys shall be sized per the BTU's being vented.
CHIMNEy TYPE []Chimney A ~Chimney B
HEAT LOSS []As Approved I-1Existing
BTU RATE I-lAs Per Plan []Variable
DESCRIPTION OF ALL WORK BEING DONE
DDirect Vent []Other
~ot Applicable
I-1Other Value 7~.[Y
VALUE (Including labor and all materials including light fixtures) $ ~/~,-~,~. --
ELECTRICAL CONTRACT .~ .OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new~replacement equipment shall be done by licensed contractors,