HomeMy WebLinkAbout0103041-HVAC (a/c)OSHKOSH
ON THE WATER
Job Addrees 2905 UNIVERSAL ST
CONDON TOTAL COMFORT
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
[~Gaa 7 [] Oil
[] New I
~J Forced Air I ~J Radiant
~' Electric ] [] Hot Water
Chimney Type F.~ Chimney A ~..~ Chimney B
Heat Loss ~.) As Approved ~.) Existing
BTU Rate ~..~ As Per Plan (. ~ Variable
No 103041
Owner THOMAS N RUSCH Create Date 07/21/2003
Category 511 - Ind. & Comm-Air Conditioning Plan
~- Electric -~ ~T Solar ] [] Solid 1
[] Replace J [] Other I
~J Steam I [~J NC I LJ vent J
I.,,J SuppL I I Icon. Sumer I
(~.) Direct Vent O Not Applicable I
~1 Not Applicable I Value 0
~ Other I
Value
Use/Nature 3OMM/ReplaceNC- Lennox 3T.
of Work
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: Date 07/23/2003
[] Permit Voided
In the performance of this work, I agree to perform all work pumuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number
(920) 748-5050
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:(no) z .soso '." ......
HVAC PERMIT APPLICATION
All information ~ bold categories m.~ be provided.
Iacompl6.~ applies, lions will not be 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
ou are a contractor artici atin in the Permit ee Account S stem and hove ade uate unds check here
i ou want this rocessed throu h our account
CH]i:CK RI ALL APPLICABLE
USE CATEGORY
[-ISingle Family EIDuplex E]Multi-Family ElR~;ntal
J~Commercial ~Industrial
FUEL ElGas [3Electric [3Solid SYSTEM ElNew /~Replace
[3Oil [3Solar E]Other
TYPE
E]Forced Air [3Radiant E]Steam/~A./C EVent E]Elec~c [3Hot Water [3Suppl.[3Con. Burner
IS CffI3'[NEY BEING LINED [3No I-lYes - LINER SIZE ~ACTURER
Note: All chimneys shah be s~zed per the~
HIMNE'~ TYPE ~ E]Chimney B ElDi,'ect Vent E3Other
ItEAT ~oved [3Existing' ~ot Applicable
[3As Per Plan [3Variable U1Other Value
DESCRIPTION OF AI~. WORK BEING DONE
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