HomeMy WebLinkAbout0102477 HOSHKOSH
ON THE WATER
.lob Address 1175 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 LLC
Category 500- Residential-Heating & Ventilating
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
102477
04/25/2003
Other J
Vent J
75m
Use/Nature NSFR/Install gas furnace.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$57.50
Date 06/27/2003
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
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspechon 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 ~
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 [-~
JoB AoI SS //74- OtZ6g/dC,
CItECK [] ALL APPLICABLE
USE CATEGORY
~Single Family F-lDuplex I-1Multi-Family FIRental
l-ICommercial
FIIndustfial
FUEL ~'~ a s l'-lElecmc EISolid SYSTEM ,l~ew
[3Replace
V1Oil ElSolar /F1Other
rced Air F1Radiant F1Steam [-'IA/C EIVent FlElectric UIHot Water F1Suppl.[-ICon. Burner
IS CHIM2NEY BEING LINED~',Io l~Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p~r the BTU's being vented.
CHIMNEY TYPE [2]Chimney A ~/[~"~_himney B ~..irect Vent F1Other
HEAT LOSS l-lAs Approved [2]Existing ~ot Applicable
BTU RATE [-]As Per Plan [-']Variable / FIOther Value 5~'~'~ bLt,-4)
DESCRIPTION OF ALL WORK BEING DONE
VAI.UE (Including labOr aud all materials including light fixtures) ~_~_,~"~kd)_~_ ~ .................
(~ONTRA('T()R ~ OR [') Electric Installation Verification form attachcd(IfRcplaccn~nt)
ELE('TRI('AI,
b]lectrtcal ~nsta[lat~on O/ nCw/r'~l,[,~CCme, nt cqut/~ment shall ~ done by Itcen.~t~t contractors