HomeMy WebLinkAbout0100444 HOSHKOSH
ON THE WATER
.lob Address 65 JACOB AVE
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 GARRY H DECKER & CO LLC
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
100444
02/11/2003
Other
Vent J
60m btu
Use/Nature NSFR/Install a furnace and duct system.
of Work
Fees: Valuation
Issued By:
$3,775.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 03/27/2003
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
~-WI ~903-1130 :: .";."
020) 2. -sOso ...-:::
Fax-';'.!(920)-236=5084 ,',,,-...., ...... . .... : ..: .-. : .
HVAC PERMIT APPLICAT O N
All im'ormafioa after bold categories ~~~{I'~/C~,. ·
Incomplete applications will not
· ^pplication(s) and fcc(s) can be brought to City Hall, Room 205 or mai]ecl to Inspection Scr~:~, ?O Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fccs bein8 dbublcd or $100.00 plus the
normal permit fcc, which cvcr is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ~'~
CltECK [] ALL APPLICABLE
E CATEGORY
ingle Family FqDuplex I-IMulti-Family IZIRentai
F1Commercial
Ellndustfial
FUEL &as F1Electric I-ISolid SYSTEM )~New
[2]Replace
il [-ISolar ' I-lOther
oo E
reed Air EIRadiant I-ISteam [2A/C FIVent [2Electric l-IHot Water UISuppl. FICon. Burner
LINED,~No [3Yes - LINER SIZE & MANUFACTURER
IS
CHIMNEY
BEING
Note: Ail chimneys shall be sizedz_.,__per the BTU's being vented.
CHIMaNEY TYPE [-']Chinmaey A /Chimney B ~Direct Vent [2Other
HEAT LOSS I-lAs Approved ~ [3Existing J~Not Applicable
BTU RATE ['-lAs Per Plan F1Variable /[2]Other Value fi/),- ~
DESCRIPTION OF ALL WO, RK BFt4NG DONE /--
/
VALUE (Including labor and all materials including light fixtures) $ x.~ 77d'7, --
ELECTRICAL C O NTRA CTO R-~/~x,~.~.,..
OR [] Electric Installation Verification form attached(If Replacement)
£[¢ctrical i,~stallation of new~replacement equtpment shall be done b~ bcens¢~ contractors