HomeMy WebLinkAbout0099255 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1255 PHEASANT CREEK DR
CONDON TOTAL COMFORT
L~J Gas I
[] New
Forced Air j
Electric j
Chimney A
As Approved
As Per Plan
Owner RUSCH HOMES
Category 500 - Residential-Heating & Ventilating
U Oil t U Electric I [] Solar
[] Replace I
L--J Radiant' I LJ Steam I
LJ Hot Water J J~ Suppl. J
Chimney B ~ Direct Vent C) Not Applicable
C) Existing ~11 Not Applicable I
~ Variable ~11 Other J
No 99255
Create Date 12/16/2002
Plan
] ~' Solid 1
[] Other I
L_I NC
j J Con. Burner J
Value
Value
Vent J
50m btu
Use/Nature
of Work
SFR/
Install gas furnace and duct system.
Fees: Valuation
Issued By:
$3,325.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$56.00
Date 12/31/2002
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
HVAC PERMIT APPLICATION
3,11 information after bold categories rrmst 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 dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
ntractor artici atin in'the Permit ee Account S stem and have ade uate unds check here
i ou want this rocessed throu h our account [-]
DATE.
CltECK [] ALL APPLICABLE
U__S~,-CATE GORY
Et'Single Family F'lDuplex F-IMulti-Family f-IRental
F1Commercial
Ullndustrial
FUEL' ~as EIElectric F1Solid SYSTEM Zl~ew FIReplace
F1Oil E1Solar []Other
ced Air [-]Radiant F-1Steam I-}A/C FIVent F1Electric [2]Hot Water fqSuppl. F1Con. Burner
IS CHIMNEY BEING LINED Ef~o l-lYes - LINER SIZE & MANUFA~R
Note: All chimneys shall be sized per the BTU's being vented.
CmMNE¥ TYPE
HEAT LOSS
BTU RATE
FiChirnney A
FIAs Approved
[2]As Per Plan
[2~himney B
[] Existing
FlVariable
DESCRIPTION OF ALL WORK BEING DONE
/
[] Direct Vent
[2~lX/ot Applicable
FiOther Value
ElOther
VALUE (Including labor and all materials including light fixtures) ~ ~¢~% __ "' t;;~.-, ~,_
ELECTRICAk CONT~CTO~ OR ~ El~rtr In,tally,on v*rtflr~don gorm ~tt~cheddr ~epac~n~nO
E[eCtr~COl installatton o~newl~olocement e4uipmen~ shall ~ done ~ [icenl~ contractorl