HomeMy WebLinkAbout0104093-HVACOSHKOSH
ON THE WATER
Job Address 1204 FAIRFAX ST
Contractor CONDON TOTAL COMFORT
Fuel r~ Gas
System [] New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air
~-Electric ]
Radiant I
Hot Water ]
Owner RUSCH HOMES
Category 502- ResidentiaPBoth
I IElectdc
[] Replaca J
~ Steam
I..] Supp,.
Ho
104093
Create Date 07/31/2003
Plan
~aar ] I Is°lid I
[] Other I
ChimneyType ~ ] ChimneyA
Heat Loss ~,] As Approved
BTU Rate ~ ~ As Per Plan
L~J A/C ~J Vent
Con. Burner I
0
66m btu
Chimney B [ ~ Direct Vent [] Not Applicable I
(~ Existing O Not Applicable I Value
~.) Vadable ~ Other I Value
USeo/~l~oUrr~ NSFR/Install gas furnace, 2.5T NC system and duct system.
Fees: Valuation $5,850.00 Plan Approval $0.00 Permit Fee Paid $93.50
Issued By: Date 09/10/2003
[] Permit Voided ]
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 (Le. 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 APPLICATION
All ia/orm~on ~ bold categories rre,q be provided. ~-~ ,._ ·
Incomplctc .ppllcafioas ~ not b¢ pmcesscd~
· .... ' -V LOPMENT
Applicalion(s) and fee(s) can be brought to City Hall, ROOm 205 or mailed to Inspection Services, ?O Box 1128,
Oshkosh WI $490~-I 1211. Commencing work without permit(s) will result in fees bcinl~ d~ubled oz' $ 100.00 plus the
normal permit fcc, which ever is geller.
OR
I uar'tacontractor artici atin- 'n'..hePerrait.ee ccount $ stem and have
· ' .-c uate unas check I~ere
i. .ou ~'s re es-ed throu h o r account
CHECK El ALL .~PPLICABLE
~. CATEGORYr . -
~Single Family I-'lDuplex t-)Multi-Family ?lRe;ntal ' F1Commercial I-Ilndustrial
FUEL as U]Eleclr/c I-ISolid SYSTEM )Z~¢w FIReplace
/J, rorced Air UlKadiant IDStcam ~t~C FIVent FIElectric F1Hot Water F1Suppl.l-iCon. Burner
,~ eC:~Y BEING L!NED~o FIyes . LINER SIZE & MANLrF
otc All chimneys shall be stzed p/~r the BTU's being vented. ACTURER
'['~MNEy TYPE {DChirrmey A ~himney B FlDirect Vent ~Other
{ EAT LOSS OAs Approved ' FlExisting ~'4ot Applicable
xl.t)E (Includi,,g lit,or lind all ,re, lethals including Iii:hr fixtures) S,:~'~-~P~.