HomeMy WebLinkAbout0101275-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 919 WAUGOO AVE
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas
New
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JOHN E BECKER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101275
04/30/2003
Other J
Vent J
75m
Use/Nature SFR/Install gas furnace.
of Work
Fees: Valuation
Issued By:
$2,475.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$42.50
Date 05/05/2003
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
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete appl/cat/on~ wffi not bc processed.
o 24H
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 dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR /
l[ ¥ou are a contractor participating in'the Permit fee Account System and have adequate funds, check here
if you want this processed through your account
JOB ADDRESS ¢~/~ ~-?~6cO ~
ow ,
CltT. CK [] ALL APPLICABLE
CATEGORY
[J, Single Family mDuplex l-lMulti-Family UIRental
nCommercial
FIIndustrial
FUEL /~Gas [-IElectric [3Solid SYSTEM [3New ,l~eplace
l-lOil [3Solar [3Other
reed Air [3Radiant I-1Steam F1A/C DVent U1Electric FIHot Water F1Suppl.[3Con. Burner
IS CRIMNEY BEING LINED ~.No I-lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE F1Chimney A VChimney B ,r-IDirect Vent BOther
HEAT LOSS mAs Approved [3Existing l~Not Applicable
BTU RATE DAs Per Plan [3Variable /[3Other Value ~'~f~-/~
DESCRIPTION OF ALI(W~ORK BEING DONE
VALUE (h, cluding labor ,nd all ,n~,terials including light fixtures) ~LC:~,~'~'.--~' ..._'~_ ......
EI.ECTRI('AI. (:ON'I'RA('TOR ~ ~OR ['] El~tric Installation Verification form attached(lC Rcplaccn~nt)
Elcctrwal mst~llatton of'ne~,/rel~h~ccmt, nt equU>ment shall ~ done by Itcen.~t contractor$