HomeMy WebLinkAbout0099234 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
70 JACOB AVE
CONDON TOTAL COMFORT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
L~J Gas I [~ Oil
[] New I
~ Forced Air I ~j Radiant
U Electric I ~ Hot Water
Chimney Type ~ Chimney A O Chimney B
Heat Loss ~.~ As Approved ~ Existing
BTU Rate ~) As Per Plan ~ Variable
Owner GARRY H DECKER & CO LLC
Category 500 - Residential-Heating & Ventilating
~ Electric ~ Solar
[] Replace I
~j Steam ~ NC J
~ Suppl. ~] Con. Burner t
~ Direct Vent (~ Not Applicable I
~1 Not Applicable I Value
~ Other I Value 60m btu
No 99234
Create Date 12/30/2002
Plan
~--~-olid
[] Other I
Vent
Use/Nature NSFR/Install furnace and duct system for new home.
of Work
Fees: Valuation
Issued By:
$3,790.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided I
$62.00
Date 12/30/2002
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
All information after bold categories must be provided.
Incomplete applications will not bc 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 doubled 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 your account
CHECK [] ALL APPLICABLE
DATE
USE CATEGORY
[~Single Family FIDuplex
FIMulti-Family
FIRental r-lCommercial Fllndustrial
FUEL .j~Gas FlElectric mSolid SYSTEM J~New FIReplace
FIOil r-lSolar FIOther
PE
orced Air [DRadiant U1Steam I-IA/C UlVent U1Electric FIHot Water FISuppl. FlCon. Burner
IS CltlMNEY BEING LINED/~',Io [DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p~er the BTU's being vented.
CItlMNEY TYPE [5]Chimney A /)~Chimney B FIDirect Vent [DOther
HI;AT LOSS ["lAs Approved F1Existing /~Not Applicable
BTU RATE [DAs Per Plan FlVariable ['lOther Value ~,
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ,..~ C~Q. _
ELECTRICAL CONTRACTO~
OR [] Electric Installation Verification form attached(If Replacement)
Electrical installation of new/ret)taccment equ~prnent shall be done by licensed contractors.