HomeMy WebLinkAbout0100253 HOSHKOSH
ON THE WATER
.lob Address 1471 WELLINGTON CT
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100253
03/17/2003
Other
Vent J
60M
Use/Nature SFR/Install gas furnace and duct system.
of Work
Fees: Valuation
Issued By:
$3,725.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 03/17/2003
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
Fax-':.(920)-236=5084 '.
' '" ~.'. ~7.: ' ': ..... .' ':". ·
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplet~ applications will not be processed.
b 9/H
· 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 x
If you ar'e a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through ),our account [-]
CItECK [] ALL APPLICABLE
CATEGORY
~Single Family I-1Duplex IDMulti-Family FIRental
FUEL 3i~as [3Electric FISolid SYSTEM
'FIOil l-lSolar
1 4 2003'
r-ICommerc~al D&~
~] ew ~Replace
DOther
oE
rced Air [3Radiant [3Steam [3A/C E]Vent [3Electric F-1Hot Water UlSuppl.l-lCon. Burner
BEING LINED~.No I-lYes - LINER SIZE & MANUFACTURER
IS
CHIMNEY
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
FlExisting
[-IVanabie
DESCRIPTION OF ALL WORK BEING DONE
/~_.iirect Vent FIOther
ot Applicable
[] ther Value /0, ~
VAIA;E (Including labor and an materials inch, ding light ~xtures) $ .~ 7~ -
CONTRACTOR~~~OR [ } Electric Installation Verification form
KI.ECTRICAL