HomeMy WebLinkAbout0105443-HVAC (install empire gas heater)OSHKOSH
ON THE WATER
.lob Address 136 W 16TH AVE
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 MARK R/DIANE K MONROE
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 ~ Direct Vent ~ Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105443
11/21/2003
Other
Vent J
50m
Use/Nature SFR/Install empire gas heater.
of Work
Fees: Valuation
Issued By:
$1,230.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$24.50
Date 11/21/2003
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.
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i ~u want this -ro es edthrou h o raccount ,,, .nunave aae Uate unds check~ere
CHECK ~[ALL~AP P LICABLE
' ~0il ~SoI~
I~E
3Forced Air ~Kadiant ~Steam ~C ~Vent ~Elec~c ~Hot Water ~Suppl.~Con. B~er
S C~y BEING LI~D~No
,'otc: All C~meys shall be s~ed p~e B~ s being vented. - M~A~R
'[flMN~Y TYPE ~Chi~e), A ~Chi~ey B ~irect Vent ~Other
tEAT LOSS ~As Approved ~Existing ~Not Applicable
TU ~TE ~As Per Plan ~Vmable
~ESCRIPTION OF ALL WORK BEING D~NE~
UlIndustrial
DNew ~eplace
I-IOther
I.K(':l'Jii(:.kl. (i)NTRA('I'()R ...... OR [ I ['Ae(H'iC InltaHntlon \ rtlficatlon form