HomeMy WebLinkAbout0099595-HVAC (temporary units)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
631 HAZEL ST
CONDON TOTAL COMFORT
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
[~- Gas
[~New
Forced Air
Electric
Chimney Type ~.~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~.~ As Per Plan
Owner GITCHI GUMEE LLC
Category 500- Residential-Heating & Ventilating
oil I [] Electric 1 LJ Solar
[] Replace I
bd Radiant I I~ Steam I I~ NC
~ Hot Water I [] Suppl. ] [] Con. Burner
Chimney B ~ Direct Vent (,~ Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
[] Solid
[] Other
99595
01/27/2003
1
Vent
Use/Nature 3OMM/Install temporary units until the building is remodeled.
of Work
Fees: Valuation
Issued By:
$13,300.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided j
$188.00
Date 01/27/2003
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
bold categories must be
Incomplete applications w/Il not b~ proccss~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or ma/lcd t~
Oshkosh WI 54903-1128. Commenmng work without permit(s) will result
normal permit fee, which ever is greater.
OR
Il'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
DATR ,/--
CONTRACTOR
CltECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family FlDuplex
IDMulti-Family
F1Rental l~commercial Fllndustrial
FUEL ~as F1Electric l-ISolid SYSTEM FINew /~eplace
FIOil F1Solar FlOther
TYPE
F1Forced Air F1Radiant F1Steam I-}A/C [2]Vent FIElectric UIHot Water FISuppl. F1Con. Burner
IS Ci:IIM/~;y BEING LINED.~o i-lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F1Chimney A
I-lAs Approved
l-lAs Per Plan
~himney B
E]Exisnng
l-lVariable
F1Direct Vent
l~ot Applicable
EIOther Value
FIOther
DESCRIPTION OF ALL V~ORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR_ ~] Electric Installation Verification form attached If Replacement}
Electrical installatton of new~replacement equtpmem shall P~c ~lone bv hccnse~t contractor~
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