HomeMy WebLinkAbout0103592-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1434 KNAPP ST
Contractor RYF HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MILDRED M EATON
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
103592
08/19/2003
Other J
Vent J
40m
Use/Nature SFR/Replace furnace.
of Work
Fees: Valuation
Issued By:
$2,600.01 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$45.50
Date 08/19/2003
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 240 MAIN ST PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number
582-4451
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.
~City ot~Oshknsh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
AH information after bold categories must be provided. AUG ~ 8 200~
Incomplete applications will not be processed.
DEPARTMENT OF
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspf-~¥s~Ll~T
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l£you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed throueh your account
DATE <~' / ~'"~ O~
CHECK [] ALL APPLICABLE
USE CATEGORY
t~Single Family I-lDuplex
ElMulti-Family
rqRental
ElCommercial
rqlndustrial
FUEL tl~Sas I-1Electric F1Solid SYSTEM
F1Oil FlSolar
F1New ~eplace
FlOther
TYPE
~Forced Air [3Radiant E]Steam I-IA/C VlVent UIElectric
IS CHIMNEY BEING LINED VlNo~[5~Yes - LINER SIZE
Note: All chimneys shah be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
I-IHot Water I-ISuppl. F'lCon. Burner
& .MakNUFAC_TURER ~'-~--
IZIChimey A
I-lAs Approved
E]As Per Plan
I~lChimneyB
I-1Existing
I-IVariable
I-1Direct Vent nOther
I'-lNot Applicable
F1Other Value ~ ~ o~
DESCRIPTION OF ALL WORK BEING DONE
VALUE [Including labor and all materials including light fixtures) $
ELECTRICAL CONTRAC O
13 For applicable projects, an Electric Installation Verification form. signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02