HomeMy WebLinkAbout0101394-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1280 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas
New
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner BRIAN J KAYE/RACHEL VAN HORN
Category 501 - Residential-Air Conditioning
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
101394
05/09/2003
Other
Vent J
Use/Nature SFR/Install 1.5 ton A/C.
of Work
Fees: Valuation
Issued By:
$1,350.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 05/09/2003
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
~'(~o) ~)~o~o ·
F.IX.'~.~(920)-.236=5084 ,=".:"' :, ........ · :.':: :.
· '.;'L' ":.? · - ' ..... '
HVAC PERMIT APPLICATION
Ail information after bold categories must be providcd.
lLncompletc 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 are a contractor participating in'the Permit fee Account System and have adequate funds, check here
if you want this processed through Four account
JOB ADDRESS
CONTRACTOR ~..~_,~.~
CitECK [] ALL APPLICABLE
CATEGORY
[D~Single Family F1Duplex l-lMulti-Family r-iRental
IZICommercial
I-Ilndustrial
FUEL F1Gas FIElectric EISolid SYSTEM ~_New IDReplace
IDOil [3Solar FlOther
TYPE
[-IForced Air F1Radiant F1Steam,~7~C [3Vent IZlElectric I-IHot Water FlSuppl. F1Con. Burner
IS CHIMNEY BEING LINED U1No F1Yes - LINER SIZE & M.~_2klSLrF-ACTURER
Note: All ch/mneys shall be sized per the BTU's being vented. ~
FlChimney A ~B IZIDirect Vent FlOther
[3As Approved.~"~Existing F1Not Applicable
F1As Pe~.Pt~ [-1Variable UlOther Value
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DESCRIPTION OF ALL WORK BEING DONE
VALUE (h~ch, ding labor and all materials including light fixtures) $ /_~. --
EI.ECTRI('Ai~ (:()N'I'RA('T()~~ OR [) Electric Installallon Verification form attached(If Rcplaccn~nt)
Electrtcal tnltalltlttOn O/ ne~,/r-el~l~ceme, nl t'qut/)ment shall ~ done by I/cen~t contractors