HomeMy WebLinkAbout0095622-HVAC (a/c) l CITY OF OSHKOSH No 95622
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3112 BELLFIELD DR Owner MATTHEW J /SARAH DEMMIN Create Date 07/02/2002
Contractor CONDON TOTAL COMFORT Category 501 - Residential -Air Conditioning Plan
Fuel 1 1 Gas 1 Oil I Electric Solar 1 Solid
System 0 New n Replace I ❑ Other
❑ Forced Air _J Radiant Li Steam u NC Li Vent
Electric 1 Hot Water 1 Suppl. I Con. Bumer
Chimney Type 0 Chimney A ❑ Chimney B ❑ Direct Vent 0 Not Applicable
Heat Loss `) As Approved ❑ Existing • Not Applicable Value 0
BTU Rate ; ) As Per Plan C) Variable • Other Value
Use /Nature SFR/ Install new 1.5 ton a/c system.
of Work
Fees: Valuation $1,340.00 Plan Approval $0.00 Permit Fee Paid $26.00
Issued By: k Date 07/02/2002
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 -184 Telephone Number (920) 748 -5050
.City Oshkosh
- Ditisionoonspect on Services. ,
141 c, 130 ,•' . " - ,101.! Zr �..
O$hkosb,-Wl 54903- 1130
Phone (920) 236- 5050 "
1*c:420)= 364084
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ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -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
If you area contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account n
DATE ' <A' �.
JOB ADDRESS i / / / ) L 1 )
OWNER L u ba / ,l
CONTRACTOR l ',(,,, ,
CHECK Q ALL APPLICABLE
E CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM AliNew ❑Replace
❑Oil ❑Solar ❑Oth
TYPE
❑Forced Air ❑Radiant ❑SteamXA/C OVent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED)iNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
—HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE / T 44
VALUE (Including labor and all materials including light fixtures) $ /090 —
ELECTRICAL CONTRACTOR.. OR ❑ Electric Installation Verification form attached(If Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
3/02