HomeMy WebLinkAbout0103259-HVAC
~
OSHKOSH
ON THE WATER
Job Address 3155 HAYWARD AVE
CITY OF OSHKOSH
No
103259
HVAC PERMIT -APPLICATION AND RECORD
Owner
Create Date 08101/2003
Plan
Contractor
CONDON TOTAL COMFORT
Fuel
~--.-J
0J'1.ew .~-_-------.J
i...:I ForcedAir I
I
I I Oil
Category 502 ~ Residential~Both
I I Electric
I I Solar
I I Solid
n Replace
U Steam
~-'
i...:I NC I U Vent
I I Con. Burner I
e) Not Applicable
System
I I Electric
U Radiant
I I Hot Water
Chimney Type C) Chimney A 8 Chimney B
Heat Loss C) As Approved e) Existing
BTU Rate ( ) As Per Plan e ) Variable
I I Suppl.
e) Direct Vent
8 Not Applicable
8 Other
Value
Value 80m
Use/Nature NSFRilnstall gas furnace and duct system.
of Work
Fees: Valuation
$6,600.00
Plan Approval
$0.00
Permit Fee Paid
$104.00
Date 08/01/2003
Issued By:
O-"'ermit Voided I
In the performance of this work, I agree to perform all work pursuant to nules governing the described construction.
Signature
Date
AgenUOwner
Address
11 BLACKBURN ST
RIPON
WI 54971 ~ 184
Telephone Number
(920) 748~5050
To schedule inspections please call the Inspection Request line at 236~5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Phoiie:(920) 236-5050"
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JOt - ,H
HVAC PERMIT APPLICATION " .j 72003
All information after bold categories IDI1St bç.,pr!>vi~Þ4R"" ,
Incomplete applications will not be P~¡ 'J1U':"~1 I M£Nì Or
Ii/I Y D[VfL
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection servf/ff{Jfttfjox 1128,
Oshkosh WI 54903-1128. Commencing work without pcnnit(s) will result in fees being doubled or $100.00 plus the
nomal permit fcc, which ever is greater, '
OR ,
J au ar~ a contractor artici atin 'n'the Permit ee Account S stem and have ade uate unds check here
i(vou want this processed throul!h vour account n
OWNER
DATE
7k~/oB
CHECK ¡;: ALL APPLICABLE
~ECATEGORY
~ingle Family DDuplex
DMulti-Family
.DRt;ntal
0 Commercial
Dlndustrial
FUEL
¡Gas
OOil
OElectric OSolid
OSoiar
SYSTEM
,À1Ñew
DOther
DReplace
~~ed Air ORadiant OSteanyà;(Nc OVent OElectric DHot Water OSuppl.OCon, Bwner
[S CHIMNEY BEING LlNED)r{No DYes - LINER SIZE & MANUFAC1lJRER
Note: All chimneys shall be sized per the BTU's being vented,
CIDMNEY TYPE OChimney A Þichimney B
IlEA T LOSS OAs Approved OExisting
ßTU RATE OAs Per Plan DVariable
ODirect Vent OOther
ÒiJNot Applicable
(dOther Value !t{, &.¡.;ì)
"ESCR"'WN 0' ALL '/:R~~,,; /q),
v AI.tIE (tndueling la¡'or anel alll11al..i.1< including lighl fixtures) L~6.{<p, -
I:I.E('TRI('.-\I'('()"TH.'\(T()H~~~ OR IIEk<ld<ln".II'flOI""Il"flonro""...,,"rellll",plmm""1
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