HomeMy WebLinkAbout0102171 HOSHKOSH
ON THE WATER
.lob Address 1255 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 KEITH A/JOIE J CUNNINGHAM
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
102171
06/13/2003
Other J
Vent J
Use/Nature SFR/Install 2 ton 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 06/13/2003
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 APPLIC N
I comp ,ppUc. o .or
tLOpM£iVT
· Application(s) and fee(s) can b~ brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without penmt(s) will result in fees being dbubled or $100.00 plus the
normal ptmmit fee, which even' is greater.
OR
If you are a contractor participating in'the Permit fee Account System and have adequate funds, check herr
if you want this processed through your account ~'~
Cltt. CK g'I ALL APPLICABLE
SE CATEGORY
ingle Family F1Duplex I-IMulti-Family IDRental
IZlCommercial
l-llndustrial
FUEL FlGas F'IElectric F'lSolid SYSTEM [:~l/New FIReplace
UIOil l-ISolar IDOther
TYPE
F1Forced Air lDRadiant l"'lSteam/~A/C F1Vent FlElectric UIHot Water FlSuppl. FICon. Burner
I.S CHIMNEY BEING LINED F1No DYes - LINE~ & MANUFACTURER
Nol¢: All chimneys shall be sized per ~nted.
CItlMNEY TYPE ~~h~w.aqc'y BE]Direct 'Vent [-1Other
HEAT LOSS /"l~'A'~~x ~;i;~g~''' S~t~pplicable
BTU RATE t-lAs Per Plan [-IVariable nOther Value
DESCRIPTION OF ALL WOR?~BE~
t';I,E('TRIt'AI. ( '()NTRA('T()! __._ _('.)R [ / Eleclrlc Installation x crlflo, llon form attlchedilf Rcpl.cc,r, cnl)
tt.'l¢cttt¢',ll Inlt,lt'ldttOn O/ new/rtl,l,l,-e~e.nt eq~tt~rtle, nt thi~lt ~' dOn~' b'; ItCt'n'~t'~f contt'clctorl