HomeMy WebLinkAbout0104094-HVACOSHKOSH
ON THE WATER
.lob Address 1270 FAIRFAX ST
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
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
No
Create Date
Plan
~ Solid
104094
07/31/2003
Other ]
Vent
66m btu
Use/Nature NSFR/ Install gas furnace and duct system.
of Work
Fees: Valuation
Issued By:
$3,490.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$57.50
Date 09/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number
(920) 748-5050
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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F~.~(g20)-236~$o84 ...... :.:-,~ ........... .......
HVAC PERMIT APPLICATION
All ilffonnatlon alter bold Categories nm.si b~ provided.
Incomplole 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 pcrrrdt(s) will result in Ices bcin~ dbubled or $I00.00 plus the
normal permit fcc, which ever is greater.
OR
u r~acontractor artici atin 'n' he Permit ee Account S stem andh
ou want this ro es ed throu Ii o r account ,,v~ uae uate unds cbe lc here
7
CI][ECK I~ ALL APPLICABLE
E CATEGORY ,
ingle Family (2]Duplex I-1Multi_Family .[]Rental I-lCommercial rlIndustrial
'UEL /~Gas [3Elcc~c I-ISolid SYSTEM jl~New UlReplace
f-lOll f-lSolar [3Other
r E
/~orced Air E]Radiant [Steam [3A/C t3Vent f-lElectric DHot Water f'lSuppl. E]Con. Burner
~ CHIM]~y BEING LINED/~No []Yes - LINER SIZE & MAN-U'FACTUR. ER
. otc: All chimneys shall be s~zcd per the BTU's being vented. --'·
'HIMNEy TYPE
EAT LOSS
I'U RATE
[3Chimney A
~As Approved
~As Per Plan
~himney B
~Existing
[]Variable
~/1~ ~hirec t Vent [Other
t Applicable
er Value ~
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