HomeMy WebLinkAbout0125837-HVAC (furnace; a/c)
o
OSHKOSH
ON THE WATER
Job Address 2103 VINLAND ST
CITY OF OSHKOSH
No
125837
HV AC PERMIT - APPLICATION AND RECORD
Owner DAVID W/CAROL J OTIO
Create Date 07/17/2007
Contractor RYF HEATING & AlC INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric _J U Hot Water
Chimney Type KJ Chimney A () Chimney B
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
. Not Applicable
Heat Loss
o As Approved 0 Existing
D_~s Per PI~___D Variable
. Not Applicable
. Other
I
~
Value
BTU Rate
Value
Use/Nature ISFR / REPLACE FURNACE AND AlC UNIT, EIV SIGNED BY SECKAR ELECTRIC
of Work
Fees: Valuation $7,000.00
Issued By: O'YI-\ 2>
Plan Approval
$0.00
Permit Fee Paid
$115.00
Date 07/17/2007
o Permit Voided I
Parcelld # 1219622900
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
PO BOX 450
WINNECONNE
WI 54986 - 450 Telephone Number 920-582-4451
To schedule insp~ctions 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.
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fa.x (920) 236-5084
~
OJ~1KOJH
ON THF WATER
HVAC PERMIT APPLICATION
All infonnation 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 participatinf! in the Permit fe€, Account!iY..stem and have adequate funds. check here
if vou want this processed through your account n
DATE/-13 -- 07
JOB ADDRESS 'AI 0 -3 Vi ~ I ~ ~
OWNER J){p v' (cQ u TTv
CONTRACTOR Ryrllcu.._i-l')/ I"- #c [LYe
CHECK li2f ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
o Rental
o Commercial
o Industrial
FUEL
tEf6as
DOi!
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
I Bforced Air o Radiant OSteam ~C o Vent DElectric
IS CHIMNEY BEING LINED DN<rfOYes - LINER SIZE 4-L
Note: AU chimneys shan be sized per t~e BID's being vented.
DHot Water DSuppl. DCon. Burner
& MANUFACTURER~x 2. l./~ <..e r-
CHIMNEY TYPE DChimney A DChimney B DDirect Vent OOther
HEA T LOSS DAs Approved OExisting ~ot Applicable
BTU RATE DAs Per Plan ,ft.Variable BOther Value
DESCRIPTION OF ALL WORK BEING DONE ~? I ~ "- >- ~a./'~ {:J '-_ C [f- #- C'
VALUE (Including labor and materials) $ ? 0 p to, 0 L:>
ELECTRICAL CONTRACTOR 5cc.&~ .
LJ 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.
10/04
Sa
CIl1.fQllllllltl1
Divilioll .,....... ~
21S CWd ",.,..
IPC"SUO
CWilMII WI S<lIlD.Jl)O
Om. _Ut40~
PIX IJ04Ito4I1W
Electric lDstallatioD VerineanoD
l(We) 6EGF~ E[.,a::ue~c CD. 1{\1~.
(Electrical ContI8Ctor Name)
~7>> CDveoJ@iEuJ.M~~ @.t> WltJalOtJlJe WI 5\fj~"
(AddHU) (City) (State) (Zip Code)
navo ~en eomractcd to parform electric installation work fo:' tYf He ffj1 AJ&
(Name ofpart)' contracted to)
at '&he foUowina address: ? / 0 3 () I 1.1 I a.-- <{. &
(Address where work win be petf'ormocl)
ThI nature o!the workeonsi5t$ of: (Check One or Describe the l'anu-e of\Vork)
'''4 ,tlecoDl1'~on or now circuit iorJeplacemtDt,Heatiag-Plant andJor Ale Condenser.
_ Rcconnection or new eireuit for replacement Electric Wate: Heater or pawer vented
, ~Cll' bcat~.
R.ocomectior. of the Service Entrance Cable. Meter BoJt. alterations to receptacles
and lishting fixnms due to siding/ 8oftitinatall~Pl1',~()~c:: ,~~, S~ice
Entrance CableswilJ require a ~arate permit ' ,,',' . .' .'
Reconnection or new Circuit for the replacement of other permanently \\1Ted
appliaDces / fixtv.reS.
Sew circuit for the addition of Ale to an individual dwelling unit (house or the
it14ividual systems in a duplex or eondominiwn). ineluding required. service
oleotrioal outlets,
____ ()+J1er
The value oft~j, wOJk is sL o(!). 0 0
I hereby verify this work wiU be perform~d by an employee of this company and fUrthet verify
the recon~.lOCUon I in&ta11ation "in be d9ne in cOmpliance \lIitl'l 1':1anafactlJrer a.'JdElectric code
roquiNmentJ. ",' , ' ' · ,v . ", '" '. '.', ,
, di-~' .~~'"~t;br" ,", ~,,['M. i~i~ifJ1;"~~e-,:&,&et~:'\<".""""7,....yg~'t:f/
(SianatUr of. Company Omcer) (print Name of Officer) (Date)
5102