HomeMy WebLinkAbout0099235 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
1350 S WESTHAVEN DR
CONDON TOTAL COMFORT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
99235
L~ Gas I ~1 Oil
[] New I
~a Forced Air ] L--J Radiant
LJ Electric I ~] Hot Water
Chimney Type [~ ChimneyA O Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~ As Per Plan ~.~ Variable
Owner TERRANCE J CINOTTE
Category 502 - Residential-Both
~J Electric t U Solar
[] Replace I
LJ Steam I L~J NC
U Suppl. I ~ Con. Burner t
(.~ Direct Vent (..~ Not Applicable i
~1 Not Applicable I Value
I~I Other I Value
Create Date 12/30/2002
Plan
Solid
[] Other
k-J Vent
100m btu
Use/Nature
of Work
~FPJ
Install gas furnace & a 3T a/c system.
Fees: Valuation
Issued By:
$4,850.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$78.50
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
· 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 perm/t(s) will result in fees being dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR ~
l[you are a contractor participating in'the Permit lee Account System and have adequate funds, check here
il'you want this processed through your account N
Lev
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
SE CATEGORY
ingle Family IZlDuplex
ElMulti-Family
r"lRental F'lCommercial Fllndustrial
FUEL /l~Gas FIElecthc F1Solid SYSTEM ~,1 e w /~'~eplace
/ VIOil IqSolar /l'qOther
oE
rced Air [3Radiant FISteam~C [3Vent F1Electric l-IHot Water nSuppl. FICon. Burner
IS CHIMNEY BEING LINED~.. o F1Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented·
CHIMNEY TYPE [3Chimney A }~himney B [3Direct Vent [3Other
HEAT LOSS FIAs Approved '[3Existing ~qot Applicable
BTU RATE FIAs Per Plan F1Variable /nOther Value
DESCRIPTION OF ALL WORK BEING DONE
/- .
VAI.UE (Including labor and all materials including ligh! fixtures} $ /~'J'~, -
ELECTRICAL CONTRACTO~0----~.&~ OR [-] El~trtc Installation Verification form attached¢lf Replacement)
Electrical mstallatt'on of new~replacement equtpment shah be done bv liccnse~t contractors