HomeMy WebLinkAbout0099784-HVACOSHKOSH
ON THE WATER
.lob Address 3135 HALLIE HOLLOW 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 THOMAS N RUSCH
Category 502- Residential-Both
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
99784
12/16/2002
Other
Vent J
50m btu
Use/Nature NSFR/Install gas furnace, 2 T A/C and duct system.
of Work
Fees: Valuation
Issued By:
$4,625.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$75.50
Date 02/11/2003
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
~n~.(~o) ~.~& so5o -
F.aX-?(~20)-236=$084 q ~..' ............ : -' ~ ':
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
'-.: .,,
O/ KO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspechon 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 z
If you are a contractor participating in'the Permit fee Account System and have adequate [unds, check here
if you want this processed through your account [-]
CltECK [] ALL APPLICABLE
.U~E CATEGORY
/i~Single Family 12Duplex
mMulti-Family
I-1Rental FICommercial EIIndustrial
FUEL ~as nElectnc [3Solid SYSTEM ~ew [3Replace
[3Oil l-lSolar F]Other
ced Air FIRadiant FlSteam/.,_A/C~ DVent [2Electric mHot Water nSuppl.[3Con. Burner
IS CHIMNEY BEING LINED/~o l-lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized t2(er the BTU's being vented.
CHIMNEY TYPE [3Chirmney A ~Chimney B [~irect Vent E]Other
ItEAT LOSS [2]As Approved ~ VIExisting /[~ot Applicable
BTU RATE nAs Per Plan F1Variable ' mOther Value ,~'7). ~ ~/-?.//v/
DESCRIPTION OF ALL WORK BEING DONE
VALU~ (I~clud~ labor and aH materials ~cludin~ H~h~ Hxmres) $ ~ ~
ELECTRICAL CONTRACTOR
OR [] Electric Installation Verification form attached(If Replacement)
Electtffcal installation of new~replacement equtpment shall be done by hcensed contractors.