HomeMy WebLinkAbout0102110 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
102110
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1285 PHEASANT CREEK DR
Owner
RUSCH HOMES
Create Date 04/25/2003
Contractor CONDON TOTAL COMFORT
1,(1 Gas 1 I Oil
Fuel
1,(1 New I
System
l..j Forced Air U Radiant
1 I Electric 1 I Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved 0 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 I Electric
1 I Replace
I
1 I Other
I U Vent
I
1 I Solar
1 I Solid
U Steam
1 I Suppl.
U A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
. Not Applicable
. Other
Value
0
Value
50m
Use/Nature NSFR/ Install gas furnace and duct system with 9 supply & 4 return.
of Work
Fees: Valuation
$3,325.00
Plan Approval
$0.00
Permit Fee Paid
$56.00
Issued By:
Date 06/11/2003
U Permit Voided I
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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HV AC PERMIT APPLICATION
All information after bold categories nmst 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 WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR ì
, ,
¡fvou are a contractor oarticivatinf! in the Permit fee Account System and have adequate funds, check here
if yOU want this processed throuf!h your account n
DATE
¡; /6/d5>
OWNER
CONTRACTOR
L {J,,-, z) .
CHECK ø ALL APPLICABLE
2§~E CATEGORY
~ingle Family
DDuplex
DMulti-Family
ORental
0 Commercial
0 Industrial
FUEL
J&fGas
OOil
OElectric OSolid
OSolar
SYSTEM
,ߣNew
OOther
OReplace
po~ed Air ORadiant OSteam ONC OVent OElectric DHot Water DSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~o OYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the 8TU's being vented,
CHIMNEY TYPE
flEA T LOSS
BTU RA TE
OChimney A
OAs Approved
OAs Per P1an
~himney B
DExisting
OVariable
gpirect Vent OOther
~~ot Applicable
DOther Value 5ìl ð---ð---U
DESCRIPTION OF ALL WOR) ~E~f:::{) .
- ,~/f"~
C/ (l ~~
V ALlIE (Including tabor and alll11atrrials including light fixtures) L;i'~,,:)._..,f. -
ELECTRICAL ('()!\'TR..H 'T()R~,- OR [I [((-etrle Installation \nlflcanon form &UlIChr¡\(JI KcpJawncl1l)
t,/rct",,',,1 .n,II"II""on of nrwk('I'¡"dn,,'nr :"""I'norM ,/",111.,. d,'"r I'.. 1:('rn.,,1 conl,."e/or,
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HVAC Permit Work Card
Job Address 1285 PHEASANT CREEK DR Permit Number 102110 Create Date 04/25/2003
Owner RUSCH HOMES Contractor CONDON TOTAL COMFORT
Categooy 500 - Residential-Heatit1g & Ventilating Plan
Fuel ~ c:J::QicJ I I Eiectric I ~ ~ Value $3,325,00
System ~ New I n Replace I n Other I
~ Forced Air I U Radiant I U Steam I U AIC I U Vent I
U Eiectric I U HotWater I U Suppl. I U Con, Bumer I
Chimney Type U Chimney A . Chimney B () Direct Vent 0 NotAppiicable I
Heat Loss U As Approved () Existing . Not Applicable I Value 0
BTU Rate D As Per Plan () Variable . Other I Value 50m
NSFRIlnstali gas-furnace and duct system with 9 supply & 4 return,
Use/Nature
o/Work
Inspections:
Date 6/19/03
Type Rough In
Inspector Nicole Krahn
approved
Datemme requested:
Notice Type:
Phone Number:
Access:
Ready Datemme:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- --- ..-" - - - - - -...... - - - -- -- -........ ---- --- -----...... - - - - - - -.. ---........ - - - - - - - - -- ..--------------..-..............
Type Final
Inspector Nicole Krahn
approved
Date 8/13/03
DatefTime requested:
Notice Type:
Phone Number:
Access:
Ready DatefTime:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - --- - - - - - - - - -...... - - - -- - - - - - -- - ..-..-- -.. - - - - - ---........ - - -----..- - - _........- - - - - -- - ---- ..-- ..-- - -.... ---