HomeMy WebLinkAbout0125592-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 613 E NEW YORK AVE
CITY OF OSHKOSH
No
125592
HV AC PERMIT - APPLICATION AND RECORD
Owner KATHLEEN B MARSH
Create Date 07/02/2007
Fuel
RYF HEATING & AlC INC
~ Gas
o New
~ Forced Air :=J
U Electric J
Chimney Type KJ Chimney A ~ Chimney B ___ Direct Vent ~ Not Applicable --.J
Heat Loss 0 As Approved 0 Existing ----______._I'!qt Applic~==.=J Value
BTU Rate (LAs Per Plan ______ () Variable_________ Other=:-_ Value
Category 500 - Residential-Heating & VentilatinL- Plan
Contractor
System
UOil U Electric U Solar
~ o Replace
U Radiant U Steam U AlC
U Hot Water U Suppl. U Con. Burne.r:J
Use/Nature SFR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC
of Work
Fees: Valuation
$2,800.00
Plan Approval
$0.00
Permit Fee Paid
$52.00
Issued By:
Date 07/02/2007
o Permit Voided I
Parcelld # 110871 OOpO
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
WI 54986 - 450 Telephone Number 920-582-4451
Address
PO BOX 450
WINNECONNE
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.
~
~
JUL 2 2007
City of Oshkosh
Division ofInspection Services
P.o. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fa.x (920) 236-5084
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
~
OfHKOfH
ON THE '.VATER
HV AC PERMIT APPLICATION
All infomlation 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If YOU are a contractor particivatinf! in the Permit fee Account System and have adequate funds, check here
if yOU want this processed throuflh your account n
DATE ,- ~<;- 07
JOB ADDRESS (, /3 IE, 1V~.4.,) ~..... A,
OWNER Ir;. ~ (lZ.<< "'> 4
CONTRACTOR b P ~~ 1-- f\-C. a: N G
CHECK I.tI ALL APPLICABLE
USE CATEGORY
}tiSingle Family DDuplex o Multi-Family
o Rental
DCommercial
DIndustrial
FUEL
I8Gas
DOH
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
JitReplace
TYPE
CliForced Air DRadiant DSteam DNC DVent DElectric
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE 0/'
Note: All chimneys shall be sized per the BID's being vented.
DRot Water DSupp1. DColl. Burner
& MANUFACTURER Fky e. t-.e'~ /'
CHIMNEY TYPE DChimney A DChimney B OOirect Vent DOther
HEAT LOSS DAs Approved o Existing RlNot Applicable
BTU RATE DAs Per Plan DVariable cf30ther Value
DESCRIPTION OF ALL WORK BEING DONE I? ~ k G-r- ;:;;../" h 0 L~ -C-,
VALUE (Including labor and materials) $ ;;<!? 0 c:> _ e0
ELECTRICAL CONTRACTOR /- -- 4l- D ~C- k-e ./'"
U For applicable projects, an Electric Installation Verification ronn. signed by the Electrical Contractor. must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
10/04
'5'~/Oo
I
I
JUL ~ 2 2007
DEPARTMENT OF
COMMUN1TY DEVELOPMENT
INSPECTION SERVICES DIVISION
Sa
ttJy ofO-bII1lIil
Diwilion oI1u1pCD1ioa SciMoe>
211 CWO NnI/.>>
K>" nu
CWIIMII WI 5<IIlQ3.lJ)D
Om- ..a1to$O!C
PIll 9J00U",IlW
Electric InstallatioD VeriftcatioD
1 (We) 6Ec..r Ail- E L-aue \ ceo. / {\/(!.....
(Electrical Contractor Name)
!3q 20 CD veoJ6lifW/V1fr't~ ~ {)J UJ NCLOtJ)1Jg (AJi 5\fj~ ~
(AddreU) (City) (State) (Zip Code)
have 'oeen comract.cd to perform electric installation work fo: elf LH e A/1 AJb
(Name ofpany eontracted to)
at 1he followina addre$s:
(Address where work will be porformed)
The nature of the workeousist5 of: (Check. One or Describe the l'ature of'Work)
~
-
R.ecoDlltCtion or now circuit for replacement Heating Plant and/or Ale Condenser.
R.econntCCion or ne-w circuit for replacement Electric Wate:- HeatSI' or pawer vented
w~er beater.
R.ocolU1ectior. of the Service Entrance Cable. Meter Box. alterations to receptacles
aDd liahting fixtures due to siding I soffit installation. Note~ New Service
Entrance Cables will requite a &epilltatc permit.
Recom1ection or now circuit for the replacement or other permanently wired
app1iaDces I fixtureS.
~ew circuit for the addition of Ale to an tnt/ividuD[ dwelling unit (house or the
inc:lividual systems in a duplex or eondominiwn), ine1uding required servi ce
e1totrioal o~c:ts.
Other
The value olt~jl work it S /7'0 (Dc? .
I hereby verify tlWI worlc will be performed by an employee of this company and further verify
the recon~oction I installation ~in be done in compliance with manufacturer a.'1d Electric co<le
RquiremontJ.
J1lfrtJE fSGCt-~
(Print Name of Officer)
6 -:2f-o/
(Date)
510:?