HomeMy WebLinkAbout0096804-HVAC 0 CITY OF OSHKOSH N 96804
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2852 MONTCLAIR PL Owner HEARTLAND HOMES CONST. Create Date 05/31/2002
Contractor CONDON TOTAL COMFORT Category 502 - Residential -Both Plan
Fuel 111 Gas Oil 1 Electric 1 Solar 1 1 Solid
System Q New 1 O Replace 1 n Other
u Forced Air U Radiant u Steam j NC u Vent
1 Electric 1 1 Hot Water Suppl. Con. Bumer
Chimney Type ) Chimney A • Chimney B Q Direct Vent Q Not Applicable
Heat Loss ( ) As Approved Q Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable • Other Value 80m btu
Use /Nature NSFR/ Install gas fumace, 3 ton A/C system and duct system.
of Work
Fees: Valuation $5,790.00 Plan Approval $0.00 Permit Fee Paid $92.00
Issued By: Date 08/23/2002
n 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
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VAC PERMIT APPLICATION I. A E R
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 permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you area contractor aarticivatinR in the Permit fee Account System and have adequate funds. check here
if you want this processed through your account n
DATE 0 / 6/ A_
JOB ADDRESS , t211 - <=2 ) u i .•vJ
OWNER _ J „ , • _
CONTRACTOR r 44. , '47;&-O )14-4 : it `a -
CHECK 0 ALL APPLICABLE
SE CATEGORY
M Family ❑Duplex ❑Multi - Family ❑Rental OCommercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM
❑Oil ❑Solar DOthe ❑Replace
❑Other
W eed Air ❑Radiant ❑SteaC ❑Vent ❑Electric ❑Hot Water ❑Su 1.❑
pp Con. Burner
IS CHIMNEY BEING LINED.. No [Wes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A tiChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing VNot Applicable,
BTU RATE DAs Per Plan ❑Variable ❑Other Value � j
DESCRIPTION OF ALL WORK BEING DONE /- ' PO
/ f A ' - _ . -
0 , , r .� -
VALUE (Including labor and all materials including light fixtures) $ . D. --
ELECTRICAL CONTRACTOR — OR ❑ Electric Installation Verification form attached(if Replacement)
Electrical installation ofnew /replacement equipment shall be done by licensed contractors.
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