HomeMy WebLinkAbout0100694 HOSHKOSH
ON THE WATER
.lob Address 1245 PHEASANT CREEK DR
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 RUSCH HOMES
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
100694
02/20/2003
Other
Vent J
50M
Use/Nature NSFR/ INSTALL FURNACE & DUCT SYSTEM.
of Work
Fees: Valuation
Issued By:
$3,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 04/08/2003
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
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HVAC P E RM IT AP P El CATI O N ~/~Nh '
~co~l~ a~Ucafio~ ~ not ~
· 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 t
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 [~
JOB ADDRESS
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[~ingle Family U1Duplex
I-IMulti-Family
UIRental UlCommercial UIIndustrial
FUEL /[~TGas FIElectric U1Solid SYSTEM ~li~ew FIReplace
FIOil FISolar FIOther
rced Air FIRadiant [-]Steam []A/C U1Vent UIElectric FIHot Water UISuppl.glCon. Burner
IS CHIMNEY BEING LINEDENo I-lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p6r the BTU's being vented.
CHIMNEY TYPE [-lChimney A /~fChimney B [~irect Vent FIOther
F[EAT LOSS I-IAs Approved ' [3Existing ?53Not Applica ebk___~
BTU RATE FIAs Per Plan FIVariable FIOther Value ,~q~9. fi.g.g)
DESCRIPTION OF ALL WORK BEINg DONE
/
VALUE {Including labor and all materials including light fixtures) $ ~_~J~, _
ELECTRICAL CONTRACTOR ~ _,OR [~ Electric Installation Verification form attached(lfReplaccn~nt)
Electrtcal installation of new/~pt~cement equtpmen[ shall ~ done by h'censtxt contractora