HomeMy WebLinkAbout0102109 HOSHKOSH
ON THE WATER
.lob Address 1235 PHEASANT CREEK DR
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RUSCH HOMES LLC
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102109
04/08/2003
Other J
Vent J
50m
Use/Nature NSFR/Install gas furnace and duct system with 9 supply & 4 return.
of Work
Fees: Valuation
Issued By:
$3,325.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$56.00
Date 06/11/2003
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
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HVAC PERMIT APPLICATION o.T.. ,,,,,,. -
All inforrmfion after bold categories n~ be provided.
Incomplete appli~tions 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-I 128. Commencing work without permit(s) will result in fees being dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou area contractor artici atin in'the Permit ee Account System and have ad ..... f -
" ' ' ' ' ' ' ~ uate unas check here
i ou want this rocessed throu h our account
~, ~.~_~.~ ·
CH~CK [] ALL APPLICABLE
g E CATEGORY
ingle Family [-lDuplex ZIMulti-Farnily [DRental ElCommercial l'-Ilndustrial
FUEL ,]~G a s FIElectric I-]Solid SYSTEM /[~New FIReplace
llOil []Solar
'FIOther
ced Air F1Radiant FISteam FIA/C FIVent [2Electric l-IHot Water FlSuppl. FICon. Burner
IS CHIMNEY BEING LINED ~No [BYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE [BChimney A ,~Chinmey B ~x~Direct Vent [BOther
HEAT LOss [BAs Approved FlExisting ,kSlNot Applicable
BTU RATE [BAs Per Plan [BVanable /l-'lOther Value '~, ~
DESCRIPTION OF ALL ~VORK BEING DONE
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I';I.E('TRI('AI. ('(),NTtL.\('T()R_~ OR [ ] [(le¢lrlc Inslallallon ~ ctlflcaflon form allachedllf Rcplsccn~ntl