HomeMy WebLinkAbout0101884 HOSHKOSH
ON THE WATER
.lob Address 1245 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 RUSCH HOMES
Category 501 - Residential-Air Conditioning
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
101884
06/02/2003
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 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
Fax.'¢(g20).236=$084 ,' .....:', :-.
,' '3'L' ":.! , ~ '..-' -o'
· 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 pemfit fee, which ever is greater.
OR t
If you are a cOntractor participating in'the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ~]
CItECK [] ALL APPLICABLE
DATE
SsE CATEGORY
ingle Family V1Duplex
FlMulti-Family
l-IRental
UlCommercial
[2]Industrial
FUEL FIGas J2~lectnc IDSolid SYSTEM .)~New FIReplace
[3Oil [-ISolar FIOther
TYPE
F1Forced
Air
FiRadiant
U1Steam/l~A/C FIVent F1Electric F1Hot Water UlSuppl. FiCon. Burner
IS CRIMNEY BEING LINED ~INER SIZE & MANUFACWURER
Note: All chinmeys shall be sized ~'r the BTU's being vented.
CHIMNEY TYPE FlChimney A ~ct Vent [2]Other
ttEAT LOSS FiAs~5._&I~'t_r¢ffi]-- [-]Existing FINot Applicable
BTU RATE FIAs Per Plan F1Variable U1Other Value
DESCRIPTION OF ALL ~VO'RK BEING DONE
VAI.[IE {Inch.ling labor ,.,,ti all materials inch, ding light fixtures) $_:~_~_..x_. . . "
t';iiE(I'RI('Ai. ('()NTR..k("I'()lt ............... ~__ eR [ I Electric Installation Verlflc,llon form ,ttachedtU Repl,ce,,*,,O