HomeMy WebLinkAbout2003-HVAC (furnace) �
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� ' � CITY OF OSHKOSH No 99615 �N;�; ,, €
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD �2610� �
ON THE WATER OqT� �
Job Address 1410 WALNUT ST Owner ROBERT J KAISER Create Date 01/29/2003 €
Contractor RYF HEATING&A/C INC Category 500-Residential-Heating&Ventilating Plan ;
Fuel ✓ Gas Oil Electric Solar Solid
System � New � Q✓ Replace � � Other �
✓ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. � Con.Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value 80m i
Use/Nature FR/Install high eff.fumace.
of Work
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: Date 01/29/2003
❑ Permit Voided I
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 240 MAIN ST PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number 582-4451
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City of Oshkosh - � � GP��+%��o �
Division of Inspecrion Services � y '
P.O.Box 1130 � �26� �
Oshkosh,WI 54903-1130 Oq.�� €
Phone(920)236-5050
Fax (920)236-5084 �--��
ON HE WATE
HVAC PERMIT APPLICATION
- All inforn�ation after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
• . Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the �
, ' normal permit fee,which ever is greater. �
OR
�vou are a contractor participating in the Permie fee Account Svstem and have adequate funds. check here #
rf vou want this processed through vour accounr n ,
DATE �'oZ�– �3
JOB ADDRESS / ��U �d-I r��,.�
OWNER Ro h��'�' tS� a,i s � /�' �� '
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CONTRACTOR � r . � C� �� � ,
Ry� �f �� � � ,. �� -
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CHECK�ALL APPLICABLE �A N 2 9 2003
USE CATEGORY � ���'ARTME
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❑Single Family ❑Duplex ❑Multi-Family ❑Rental oC�����,pEV��'ustrial
tOPMENT
FUEL �I.Gas ❑Electric ❑Solid SYSTEM ❑New j�Replace
OOiI ❑Solar ❑Other
�
TYPE
�Forced Air ❑Radiant ❑Steam ❑A/C OVent ❑Electric �Hot Water �Suppl. ❑Con. Burner
IS GHIMNEY BEING LINED ❑No OYes - LINER SIZE�_&MANUFACTLJRER���� � ��'� e,—
Note:All chimneys shall be sized per the BTU's being vented.
CffiMNEY TYPE ❑Chimney A OChimney B (S(Direct Vent ❑Other
HEAT LOSS �As Approved �Existing ❑Not Applicable
BTU RATE OAs Per Plan ❑Variabie �r30ther Value &`� o o a
DESCRIPTION OF ALL WORK BEING DONE .X�k s �-���.�f�d� o � ��`j r f�� r
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VALUE(Including labor and all materials Including Ilght fi:tures)$ ��V �� �
ELECTRICAL CONTRACTOR � �c��� o�✓� r I c c,f'✓!c�
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�For applicable projects,an Electric Installation Verification form, signed by the Electrical Contractor,must be
attached. If not attached or not applicable,a sepazate Electrical Permit is required.
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FI;OM : ' � FAX N0. : Aug. 19 2002 04:01PM Pi
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(Etecnicsl contraccor N�tznc)
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(A�dd�n..) '��7+) (seate) :�P e�)
btve�d1 ooptTeofed to p�oi7qn electric i�6ta11atioR wotic fo: �;� F I 1��"TI/1�,�
(11amt Of parcy coauaCted�a)
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�Aadress vnc�n worlc a►i11 b�per�a�
Y'he aatnra of tlu worlc coasia+s of {C�eck One or Deseribe the:�acnre of�1'ork;
_,�R�eer�edion or aaw cinuit for np�keraeat H�acng P:�ut mcL'or�r'C C�.
� R�voonaa:tioa or ntar oircuit for repL�canart Eleau�ie W�.e-Heac�or pewer veated
vvata heate�.
Reoomce�or.of the Servioe bntraac.t Gble.Meut Bax,alt�rations:o receptacles
�std liglnnng frxturts duc to siding/eo�t itta�3luion. l�ate: New Service
Eatrmcc Cabks will nqtiire e�cparatc peruai;.
A�¢ecdan or naw ci:cuit:ar the zepLcement of other permeme�rtly wirod
�/fixtuse�.
Vew c�4uit fo�the addition ofA/C to ar�tr�dividual dws'W�g svrit(twus�e or tke
it'�dividu4t tyscetns in a duplrac o�co�a�'a�minium�in:andir.g req�ared srrvicP
eleatricsl outlat+.
Othcr
71m valu�a of trit wo�ic u S Q•b�
t lfes�bY verify this waarlc wil!be pesfocmed by aa�aployee of this wmpany ar�d fur,�r vaify
�e s�OCOt►iactio��i�o�a'ill bt 8o�e in com�liaax wiih z�nfa;.twr. aad Elxtric oode
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c _ ��� F-.���1°�1� � Z� ?_Op'S
(Si�ure oF om�aay Oflicez) (Pritr.t N�oe of Officer) (�ax)
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