HomeMy WebLinkAbout0100251 HOSHKOSH
ON THE WATER
.lob Address 1390 JUDY LEE 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
100251
01/22/2003
Other
Vent J
60m btu
Use/Nature NSFR/Install gas furnace, 2T A/C system, and duct system.
of Work
Fees: Valuation
Issued By:
$4,950.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$80.00
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
HVAC PERMIT APPLICATION
All information ~fler bold categories must be provided.
Incomplete applications wil] not be processed.
O_/H<O/H
ON ?HE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
. Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1
I ou ar'e'a contractor artici atin in'the Permit ee Account S stem and have ade uate unds check here
i ou want this rocessed throu h our account [-]
JOB ADDRESS;. /.~ ~ ~-c~ ~
CHECK [] ALL APPLICABLE
RECEIVED
MAR
S E CATEGORY
ingle Family
FUEL ~as
!DOil
[3Duplex F-IMulti-Family
l"'lRental
ART, E, NT OF
FlElectric FqSolid SYSTEM ,~ew FIReplace
l-lSolar F1Other
{/~E
rced Air FIRadiant IDSteam F1A/C F'lVent l-lElectnc Elliot Water FISuppl. F'lCon. Burner
IS CHIMNEY BEING LINEDX~o UlYes - LINER SIZE & MANUFA~R
Note: All chimneys shall be sized pe/r the BTU's being vented.
CHIMNEY TYPE l-IChirnney A '~Chimney B .~Direct Vent F'lOther
HEAT LOSS [:]As Approved 'L1Existtng /~Not Applicable
BTU RATE l-lAs Per Plan FlVariable FlOther Value rfp, AX..D ~(.JAr/
DESCRIPTION OF ALL WORK BEING DONE
/'-'
VAI.tIE (Including labor and all materials including light fixtures)
t';I,E(~TRICAL CONTRA(~TOR *~' .....
O___~g [ ] Electric Installation Verification form attached[Il Rcplaccn~nll
b'IVCIFICtI! mltallalt'On Of new/r~.t}lacernCnl equtpn, lenl ~:hHl/ [,,c dtm¢ [,;. [tcenscd contractors