HomeMy WebLinkAbout0100445 HOSHKOSH
ON THE WATER
.lob Address 45 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
100445
02/11/2003
Other
Vent J
60m btu
Use/Nature NSFR/ Install a furnace and duct system.
of Work
Fees: Valuation
Issued By:
$4,150.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$68.00
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
HVAC PERMIT APPLICATiOI R
All information after bold categories must be prod~/f. 2 ~
Incomplete applications will not be process~ ,~
^pplic,tion(s) and tee(s) can be brought to City Ball. Room 205 or ma~'~h~'~,ti.'.c~'ni:~ces. PO Box
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees ~e'~~~r $100.00 plus the
normal pemfit fee, which ever is greater. '
OR
l[¥ou are a contractor participating in the Permit fee Account System and have adequate £unds, check here
i[ you want this processed through Four account ~
CHECK [] ALL APPLICABLE
SsE CATEGORY
ingle Family UlDuplex DMulti-Family r-IRental
l-lCommercial
f-'llndustrial
FUEL _/~as FlElectric DSolid SYSTEM ~l~New r']Replace
F1Oil DSolar nOther
reed Air UlRadiant [-lSteam DA/C E]Vent F1Electric F'IH0t Water UlSuppl. F1Con. Burner
IS CHIMNEY BEING LINED~.No l-lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [~Chimney A ~)~Chimney B _[~Direct Vent FIOther
HEAT LOSS l-lAs Approved F1Existing /151Not Applicable,
BTU RATE F-lAs Per Plan E]Variable [2]Other Value
DESCRIPTION OF ALL WORI~ BEI/~G DONE
VAIAIE (Including labor and all materials including light fixtures)
F;I,ECTRI('A i, (:ON'I'RA ('rI'()l~
..0R ['] Electric Installation '~'¢rlflcallon form attached(If Replacement)
£l¢ctncal mstat/atu)n o/ nrw/r,rl,l,~,-¢mcnt eqm.t,rnent shall b,e done b~., h'cen~cd contractors