HomeMy WebLinkAbout0102448 HOSHKOSH
ON THE WATER
.lob Address 1205 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 RUSCH HOMES LLC
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
102448
06/24/2003
Other J
Vent J
Use/Nature SFR/Install new 1.5 ton A/C system.
of Work
Fees: Valuation
Issued By:
$1,350.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$26.00
Date 06~25~2003
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 APPLICATI
AU '.mforma~on ~ bold c~tcgofies must be
mcomplctc appl/cadons wi~ not be ro~essed
p .
· Application(s) and fee(s) can be brought to City Hail, Room 205 Or mailed to Inspection Services, P~)~ox 1128,
Oshkosh WI 54903-1128. Commencing work without pet.dr(s) will result in fees being d6ubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I " ' /
ou are a contractor artici atin in tie Permit ee Account $ stem and have ade uate unds check here
i ou want this rocessed throu h our account
CH~CK [~ ALL APPLICABLE
SE CATEGORY
ingle Family V1Duplex I-IMulti-Family
.l-]R~ntal
F1Commercial
l-IIndustrial
FUEL FIGas V1ElecWlc F1Solid SYSTEM _~ew FIReplace
FIOil I-1Solar FIOther
TYPE
~Forced Air VIRadiant VISteam/A/C F1Vent FiElectric F1Hot Water FiSuppl. FICon. Burner
INSr C~y BEING LINED FINo I-lYes - LINER SIZE ~--------'-'------&~ANUFACTURER
otc: All ch~llltleys shall be sized per the B~
CIJ~MNEY TYPE FICA [-IChimney B F'lDirect Vent U]Other
ItlgATLOSS ~s Approved FiExisting' FINot Applicable
BTU RAT~ V1As Per Plan FiVar/abl'~ FiOther Value
DESCRIPTION OF ALL WORK BEING DONE
/-
[':[,E("I'RI('AI. ('()N'I'RA('T()I~, ~ OR [ } [':leetric Inilaltatton X etlflcalion form aItachrd(H Replacc:l~cnl)