HomeMy WebLinkAbout0131529-HVAC (furnace)CITY OF OSHKOSH No 131529
OSHKOSH
ON THE WATER
Job Address 1710 MINNESOTA ST
HVAC PERMIT -APPLICATION AND RECORD
Contractor RYF HEATING & A/C INC
Fuel / Gas
System ~ New ~
/ Forced Air Radiant
Electric Hot Wate
Chimney Type Chimney A Chimney B
Heat Loss As Approved Existing
BTU Rate As Per Plan Variable
Use/Nature
of Work
Fees: Val
Issued By:
FR /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC '"check #14327
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Plan Approval $0.00 Permit Fee Paid $46.00
Date 07/14/2008
Permit Voided
Parcel Id # 1403710000
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 ~i Date
Address PO BOX 450
Owner TROY M/REBECCA L PEPPLER Create Date 07/14/2008
Category 500 -Residential-Heating & Ventilating Plan
Electric Solar Solid ~
~/ Replace ~ Other
Steam A/C Vent
Suppl. Con. Burner
'ent ~ Not Applicable ~
Not Applicable Value
Other Value
Agent/Owner
WINNECONNE WI 54986 -450 Telephone Number 920-582-4451
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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 of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
F 920 236 5084
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THE WATfF
HVAC PERMIT APPLICATION
All information 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 54903-1 1 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR i
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retarned for completion.
DATE ~ `~ Sr -~ O R
JOB ADDRESS f 7 ~ O /~J i ~'1 '~4
OWNER ~/'0~/1 ~////lt ~'
CONTRACTOR ~~..~ l- f~.~.~x
CHECK ®ALL APPLICABLE
USE CATEGORY
i
~ 8 ., d''ti .f ~-~
Single Family ^Duplex ^Mu
FUEL ~Cras ^Electric ^So!
OOiI ^Solar
TYPE
Forced Air ^Radiant ^Steam ^
Iti-Family ^Rental ^Commercial ^Industrial
id SYSTEM ^New ~Zeplace
^Other
A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED~No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU''s being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ®'Other
HEAT LOSS DAs Approved i ^Existing ~Dtot Applicable
BTU RATE ^As Per Plan ~ 'Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~,e~r[a. c ~_ ~~t./h~~
VALUE (Including labor and materials)
ELECTRICAL CONTRACTOR (for
.o. o ~
~y~~
not requiring an EIV Form) ~c-c,~~ ./~
o~/o~
~~i+adt~~o.5ar
llf C-iwt AnMws
p~ltlp
p~~roV1 fMfD•117o
b:On~ ~owo~o
tfon Veriflcst~on
cAaa~s+-~
ba~ve besui ~ ~ 1
at the Lollowiag address:
?he natsae of the work c
,~~. ~ ~- GCS , Il~(~--,
(F,lertrical Cortvactor Name
Pu~M~-~. ~D (~~~~~~o~~ ~,~r ~54~2~~
{City) (stated tz~p code)
electric ~ittstallation work for e ~ ~ ~ ~
j (:~1ame of party coatcuted to)
D
(Address wbere work will be perfoaated)
of: {Cb ek One or Describe the Nature of ~~'ork}
IZ.eooaneedon or new circuit for replaaement Heating PLtnt aadlar ~'C Condenser.
R,e~aaneatior. yr tiCw circuit fsu replacement Electric t~-ate: Htazar or power vented
ws~Ztr bsa~r.
Reconceatia: of the Ser~~ioe fiutranca Cabkr Mader Box, alterations to reoepiacles
sstd lighting fixttu+oa due to Biding / soffit installation. Noce: New Sorvire
Eattaoce Cables will r+cgtira s aeparato permit.
Reco~eetiost oz nsw circuit for the reeplacament of other pettnattecrtiy wired
appiieness 1 >ixturea.
~1ssw cit~ouit for the addition of A/C to an tnaltvidual dwstttnE unu (house or tts:
individual eyut+ems in a dulstwc sn cos-dominium), in:ltidir~~t regtrired service
stleotrioal outlets.
Other ~
The value o!'this walk is
i hszraby verity this work wi11
the rectns section /installation
reslaireraonts.
Company
A, o ~
performed by stn anployee of this c~tnpany and furher verify
11 be done in compliance with ~aactfacture- and Electric code
~ ~ ~S ~G~ ?-/~ o ~
(Print Nsune of Ol~icor) (Dace)
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