HomeMy WebLinkAbout0098883-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
3295 ISAAC LN
CONDON TOTAL COMFORT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
[] Gas ]
[] New
Forced Air 1
Electric
Radiant
Hot Water
Chimney Type ~ ChimneyA O Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~ As Per Plan ~ Variable
Owner PATRIARCHS SUBDIVISION LLC
Category 500- Residential-Heating &Ventilating
L~ Electric I ~-'Solar
[] Replace I
LJ steam I L-J NC
[] Suppl. ] U Con. Burner
~.~ Direct Vent ~ Not Applicable
~1 Not Applicable I Value
~1 Other I Value 60m btu
No 98883
Create Date 11/18/2002
Plan
1 [] Solid
[] Other
Vent
Use/Nature
of Work
NSFR/
Install furnace & duct system.
Fees: Valuation
Issued By:
$3,790.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$62.00
Date 12/03/2002
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
All information after bold categories must be provided.
Incomplete applications will not be proc~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or m~q~I~l;i__on Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s~.~,J~~'~ ~10~toubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If Fou are a contractor participating in the Permit fee Account System and have adequate_funds, check here
if you want this processed through Four account V-]
JOB ADDRESS ,~ ?4--X~-o,~
CONTRACTOR
CHECK [] ALL APPLICABLE
I~E CATEGORY
[2~ingle Family r"IDuplex mMulti-Family nRental [3Commercial
FUEL ~(~as []Electric F1Solid SYSTEM .~ew nReplace
'F1Oil F1Solar mOther
Fllndustrial
.T.T.T~PE
AForced Air F1Radiant FISteam EIA/C F1Vent F1Electric
IS CHIMNEY BEING LINED ~.No U1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE UIChimney A >~Chinmey B
HEAT LOSS r-lAs Approved F1Existing
BTU RATE f-lAs Per Plan F1Variable
DESCRIPTION OF ALL WORK B~qING DONE //~ ~
F1Hot Water [2Suppl.
& MANUFACTURER
[]Direct Vent [3Other
j~ot Applicable
[]Other Value ~' ~ ~ "~ ~'bt,~Z
[]Con. Burner
VALUE (Including labor and all materials including light fixtures) $ ~ ~ ~
CONTRACTOR~~,,.,~ '"
ELECTRICAL
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02