HomeMy WebLinkAbout0101883 HOSHKOSH
ON THE WATER
.lob Address 1145 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
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
101883
04/08/2003
Other
Vent J
50m btu
Use/Nature NSFR/ Install gas furnace and duct system.
of Work
Fees: Valuation
Issued By:
$3,850.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$63.50
Date 06/02/2003
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
z. .soso .... '
F~x-¢(920)~6~5084 ,"."' ..:',
.° ')'L' ":.! . ~.'-.-''.-'
HVAC PERMIT APPLICATION
All information after bold categories mu~t 1~ provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sc-trices, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $I00.00 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 her.
if you want this processed through your account
JOB ADDRESS
CONTRACTOR
CttECK [] ALL APPLICABLE
DATE
SsE CATEGORY
ingle Family FlDuplex [3Multi-Family I-IRental
IDCommercial
[3Industrial
FUEL ~_Gas FlElectnc FlSolid SYSTEM ~l~ew FIReplace
F'lOil FISolar [3Other
rced Air F1Radiant FlSteam FIA/C r-lVent [3Electric I-IHot Water F1Suppl. FlCon. Burner
IS CHIMNEY BEING LINEDA~.No FiYes - LINER SIZE & MANUFACTURER
Note: All Chimneys shall be sized pei the BTU's being vented.
CHIMNEY TYPE IDChimney A ~/~himney B I-1Direct Vent [DOther
ftEAT LOSS r-lAs Approved l-lExisting l~Not Applicable
BTU RATE [3As Per Plan [3Variable l-]Other Value ~gr ~ ~[:>/Wa/A/
DESCRIPTION OF ALL WORK
y_lNG DONE
I';[,E('TRI('Ai, ('()N'I'IC,~,("I'()I{ ................... O._.~R ( ) EItctrl¢ Inslallatlon VeriFication form ~.ll~,chtdtlr Rcplaccn~rnt)