HomeMy WebLinkAbout0101781 HOSHKOSH
ON THE WATER
.lob Address 1230 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MICHAEL J/GLORI HANSEN
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
101781
05/28/2003
Other J
Vent J
Use/Nature SFR/Install 2T A/C system.
of Work
Fees: Valuation
Issued By:
$1,375.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 05/28/2003
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 informalion ~er bold categories must be provided.
Incomplete 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 W'I 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pe~fit fee, which ever is greater.
OR
! -' .
ou are a contractor artici atin in the Permit ee Account S stem and have adc uate unds check here
i ou want this rocessed throu h our account
JOB ADDRESS
Clq'ECK [] ALL APPLICABLE
CATEGORY : ' · ' ,' ,
,~k~ingle Family nDUPiex nMulti-Family I-IRental I-ICommercial I-1Industrial
FUEL [3Gas ElElectric I-ISolid SYSTEM J~New I-IReplace
I-IOil l-ISolar r-IOther
TYPE
E1Forced Air l-IRadiant 12]Steam/~A/C DVent IZIElectric l-IHot Water UISuppl.l-ICon. Burner
IS CHIMNEY BEING LINED I-lNo [3Y.k~ - LI'NI:~R-SIZE '&-MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
ttEAT LOSS
BTU RATE
[]Chimney A
D-lAs Approved
D-lAs Per Plan
mChimney B I-IDirect
'~,E~ ~]~-6q~p pl i c a b I e
._~LlSAaff~ble IZlOther Value
DESCRIPTION OF ALL WORI~ BEING DONE
VAI,ILIE (h, cl,,di,,g labor and all materials including light fixtures)