HomeMy WebLinkAbout0101558 HOSHKOSH
ON THE WATER
.lob Address 1225 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel ~J Gas ~
System ~J New ~
~J Forced Air 1
~J Electric I
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner RUSCH HOMES LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney B ~ Direct Vent ~ Not Applicable
Existing O Not Applicable
Variable ~ Other
Value
Value
No
Create Date
Plan
L~ Solid
101558
04/02/2003
Other
Vent J
75m btu
Use/Nature NSFR/ Install gas furnace and duct system for new home.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 05/16/2003
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 m-st be provided.
Incomplete applications will not be processed.
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O_fH<Of
ON THE ~V'ATE[
· 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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I " ' / beck here
i. LFou want this rocessed throu h our account
I ,,
CHECK [] ALL APPLICABLE
Fllndustrial
FIReplace
~ CATEGORY
/~ingle Family FIDuplex I-1Multi-Family DRental I--1Commercial
FUEL /~Gas l-]Electric UlSolid SYSTEM /~New
l-lOll l-lSolar FIOther
ced Air UIRadiant I-ISteam [:2]MC DVent l-]Electric l-IHot Water i-ISuppl. FICon. Burner
Note: All chimneys shall be sized per the'~'I:U's being vented.
CHIMNEY TYPE [~Chinmey A ~E
Chimney B ~.,_~Direct Vent DOther
fIEAT LOSS F-lAs Approved xisting ~"Not Applicable
BTU RATE I-lAs Per Plan F-IVariable ' l-IOther Value ,,q'.D~ A.0,-D ~/,,~
DESCRIPTION OF ALL WORK,~,~ING DONE
/-
VAIJ. IE (Including labor ,,,ti all materifls i,,ch, ding lighl fixtures) ~;_._ _~.~__~._... 7_ .........