HomeMy WebLinkAbout0100448 HOSHKOSH
ON THE WATER
.lob Address 2280 WISCONSIN ST
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner CURTISS HOMES
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
No 100448
Create Date 03/26/2003
Plan
Solar ] ~J Solid
~J Other
A/C ] ~J Vent
Con. Burner ]
Chimney Type I~) Chimney A O Chimney B ~) Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
Use/Nature
of Work
6 unit apartment building/Additional work to HVAC permit # 98090 - change boiler from CSC-175 to CSC-200 and add MS-53 tank.
Fees: Valuation $1,550.00 Plan Approval $0.00 Permit Fee Paid $29.00
Issued By: Date 03/27/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number (920) 748-5050
HVAC PERMIT APPLICATION
All iaformatioa aft= bold categories m~st bi~'~t~i$~'Rq~7-~ ~,,._
u£k£LOP
Application(s) and fcc(s) can lac brought to City Hall, Room 205 or mailcd to Inspection Services, ~o.x ] 128,
·
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being dbubled or $I00.00 plus the
normal permit fee, which ever 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
I-1Multi-Family I-IRental l-ICo~rcial Fllndustrial
UlElectric VlSolid SYSTEM ~ew []Replace
l-lSolar F1Other
CHECK [] ALL APPLICABLE
USE CATEGORY
,~ingle Family F-1Duplex
FUEL ~Gas
FIOil
V1Forced Air I-lRadiant F1Steam OMC UlVent UlElectric l-lHot Water UISuppl. OCon. Burner
LINED ~ o, OYes - LINER SIZE &/vlANUFACq'IJRER
IS
CHIMNEY
BEING
Note: All clfimneys shall be sized per the BTU's being vented
CHIMNEY TYPE
ttEAT LOSS
BTU RATE
OChimney A
OAs Approved
OAs Per Plan
~:~hinmey B
[3Existing
[-lVanable
ect Vent OOther
Applicable , /)/)
er Value ~de_.g~~
DESCRIPTION OF ALL WORK BEING DONE .
-
VAI,UE (Including labor and all materials inch, ding lighl fixtures)
t':I,E(TTRICAL (?ONTRACI'OR ~
O.~R [ ] Electric Installation Verlflcallon form attachrd~ll Rcplaccn'x'nl}
t"tectrl¢'al mstollatton of new/replacement equip-leal shol[ ~ done by Itccnit~t contractor~