HomeMy WebLinkAbout0100446-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1000 N LARK ST
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 BRANT P GETHERS
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
100446
03/26/2003
Other J
Vent J
75m
Use/Nature SFR/Install 1 gas furnace and chimney liner.
of Work
Fees: Valuation
Issued By:
$2,080.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$36.50
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
ON ~E W^TE~
HVAC PERMIT OF
~co~l~ a~c~do~ ~ not ~ priced.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
· 1
I ouareacontractor artici atin in'the Permit eeAccountS stem and haveade uate unds check here
i ou want this rocessedthrou h our account []
CHECK [] ALL APPLICABLE
/~3E CATEGORY
ingle Family F'lDuplex l-lMulti-Family F-IRental
F1Commercial
Uilndustrial
FUEL /~Gas I-1Electric FlSolid SYSTEM F1New ¢t~eplace
l-lOft FlSolar FIOther
rced Air l-IRadiant l-ISteam I-IA/C r-Went I-lElectric r-tHor Water FISuppl.l-ICon. Burner
IS CItlMNEY BEING LINED I-1No~l~Yes - LINER SIZEd ~X~2-,Y''/ & MANUFAcWURER
Note: All chinmeys shall be sized per the ~]:L!'s being vented
ChqMN-EY TYPE
ItEAT LOSS
BTU RATE
[]Chimney A
I-lAs Approved
[]-lAs Per Plan
~Z'Chinmey B
[Existing
FlVanable
ElDirect Vent FIOther
TNot Applicable
Other Value 5~,,3'5'/~
DESCRIPTION ~RK BEING DONE
VAI,UE (including labor ~,na all materials inch, ding light fixtures) $ ~0/0- --
t';I,ECTRICAL CONTRACTO .......... OR I I Electric lnstallalion Verification form allachedtlf Rcptacc,n~m)