HomeMy WebLinkAbout0104814-HVACOSHKOSH
ON THE WATER
.lob Address 1265 FAIRFAX ST
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 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss IO As Approved
BTU Rate IO As Per Plan
Chimney B O Direct Vent ~ Not Applicable I
~ Existing ~ Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104814
08/07/2003
Other
Vent J
Use/Nature NSFR/2 story home Heating system installation.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 10/16/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
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.
HVAC PERMIT APPLIC I ? TM£NT OF
All ial'onmtion ~grbold e~tcgori~ rm,.'~ ~Vi~}~ D~/~..~. -
~lm t~o~ ~ not ~ p~d.
· Application(s) trod fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without ix;trait(s) will result in fees being dbublcd or $100.00 plus the
normal permit fcc, which ever is greater.
OR
! ~ . /
ou are a contractor ar ici atin 'n he Permit ee Account S stem and have ode uate unds check here
i ou want this ro es edthrou h our ac ount
JOB * Dm SS /0- rT-
CONTRACTOR ~.~-, ~.~.?~_
,~E[ECK IZ ALL APPLICABLE
sE CATEGORY
ingle Family ODuplex IDMulti-Farnily UIRentaI UICommercia1 FllndUstrial
"UEL ~oGas I'-IElectric F1Solid SYSTEM ~"~ e w ~Replace
il OSolar IDOther
~"YPE
~l~orced Air [-IRadiant C1Steam UIA/C inVent OElec~c UIHot Water F1Suppl.r-ICon. Burner
C~y BEING LINED~o UIyes - LINER SIZE & MANUFACTURER
· otc: All chimneys shall be sized per the BTU's being vented·
~NDirect Vent U]Other
ot Applicable
O00,er val e '7',ST
'[HMNEY TYPE OChimney A ,~Chimney B
{EAT LOSS OAs Approved [-iExisting
TU RATE OAs Per Plan UtVariable
ESCRIPTION OF AI,L WORK BEING D(SNE
'"I,IIK (hlcludmll l~lbor ~ttll all maleriils includin[l ligh(fixtures) S ~ ~
E('TRI('AI. (I()N I'R..~{'I'()i~ .... ()~ ] ] Electric tn~l~ll~llon'X t,lflctlh, n form ~[(~chcdilf Rcplace.~,~l