HomeMy WebLinkAbout0099702 HOSHKOSH
ON THE WATER
.lob Address 1461 WELLINGTON CT
Contractor CONDON TOTAL COMFORT
Fuel ~J Gas ~
System ~J New ~
~J Forced Air 1
~J Electric I
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner CRAIG MEETZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney B ~ Direct Vent ~ Not Applicable
Existing O Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
99702
12/16/2002
Other
Vent J
80m btu
Use/Nature NSFR/Install gas furnace and duct system for new home.
of Work
Fees: Valuation
Issued By:
$5,450.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$87.50
Date 02/06/2003
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
HVAC PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
O OY'H
ON THE WATER
· 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 J
!f ¥ou ar~"a contractor participating in'the Permit fee ,4ccount System and have adequate funds, cheek here
if you want this processed through your account [-~
CHECK [] ALL APPLICABLE
U~SE CATEGORY
/E~Singl¢ Family [-IDuplcx
EIMulti-Family
'F1Rental
ElCommercial
Ellndustfial
FUEL /{5~Gas F1Electric FlSolid SYSTEM ~i~lqew FIReplace
FIOil FISolar []Other
ced Air FiRadiant []Steam FIA/C F1Vent []Electric []Hot Water FISuppl. FICon. Burner
IS CItIMNEY BEING LINEI~No FlYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CmMNEY TYPE V1Chimney A ~Chimney B ~,Direct Vent F1Other
Hit. AT Loss r-lAs Approved · ~Existmg /Ii]Not Applicable
BTU RATE FIAs Per Plan F1Variable EIOther Value ~ 0~ ~ ~]'t]~
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If ReplacemenO
Electrical installation of new/replacement equipment shall be done by licensed contractors.
3/02