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0131530-HVAC (furnace & a/c)
OSHKOSH ON THE WATER Job Address 1750 LUKE LN Contractor RYF HEATING & A/C INC i Fuel / Gas Oit ~, System ^ New ~ ~~~, / Forced Air Radiant Electric Hot Water Chimney Type Chimney A Chimney B Heat Loss As Approved Existing BTU Rate As Per Plan Variable Use/Nature ~SFR /REPLACE FURNACE AND A/C, EIV SI of Work Owner PETER J TOONEN Create Date 07/14/2008 Category 501 -Residential-Air Conditioning Plan Electric Solar Solid 0 Replace ~ ^ Other Steam / A/C Vent Suppl. Con. Burner Direct Vent Not Applicable Not Applicable Value Other Value U tSY StGKAK tLtG I KIG ""CI1eCK #14321 Fees: Valua on $ ,100 _ Plan Approval $0.00 Permit Fee Paid $131.50 i Issued By: Date 07/14/2008 ^ Permit Voided Parcelld # 1608650107 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 Address PO BOX 450 AgenUOwner WINNECONNE WI 54986 -450 Telephone Number 920-582-4451 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 OF OSHKOSH No 131530 HVAC PERMIT -APPLICATION AND RECORD City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920)236-5084 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 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ou are a contractor Darticinatine in the Permit fee Account Svstem and have adequate funds, check here ** 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. DATE7- ~~~~5 JOB ADDRESS ~ 7S © L cZt CHECK ®ALL APPLICABLE USE CATEGORY Dingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL '~ias ^Electric ^Solid SYSTEM ^New ~d'keplace ^Oil ^Solar ^Other TYPE ~ Forced Air ^Radiant ^Steam ,~A/C ^Vent IS CHIMNEY BEING LINED'j39No ^Yes -LINER SI; Note: All chimneys shall be sized per the BTU'Is being vented. CHIMNEY TYPE ^Chimney A ^Chimney B HEAT LOSS ^As Approved ~~ ^Existing BTU RATE ^As Per Plan ',.Variable ^Electric ^Hot Water ^Suppl. ^Con. Burner 7E & MANUFACTURER ^Direct Vent ~7ther Not Applicable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE j~~.a Ia,c.c, ~~~r~ac, c d- /9.S'. i VALUE (Including labor and materials) ~ I~/ ~ ~'' ~ ~ D l'~ , 5~ l .~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~>/G~Cr! /` o~io~ C~, stpNw-A ~~ ~dtpl~fstiaa 5w 111 C1~M ~"'~' lOta- i ito w~ s~•>>~ >~o~ In~tallatfon Verification LAC ~ c~ , N C.-, 1(we) C~~~ ~ ---- (Electrical Contractor Name) ~..~ _ ._ „ ~, .~,~.,.., ~~, ~~ ~ )nom n~-x ~~ ~,~ ~N s+~~co~ n~ ~ 5 ~ ~ (Adds) ~ {City) (State) (Zip Codc) to arfortp electric installation work for `" ~~~ ~ ~ l++we ~~~ ~ P (:Tame of party contracted to} addres:: _1 ?s ° ~~- t at the >3ollowiag ~Addreas where work will be performed) r 'be the l~anue of LL'ork} The nature of the work consist of; (Check One o Dascre ,~, R,eootmeetion or now circuit for replacemett Hearing P1Ar!t acd~'ar ~"C Condenser. Roconneotia: or new circuit far replacement Electric wale: Haaz-x or power vented w}ter boater. j R.oconnectior. of the Ser~~ice Entrance Cable. Meer Box, altezations to receptacles ~~ and li~htin~ fixturaa dun to xidirg ~ soffit instillation. hYou~ New Service Eatrastice Cables will require a separato peewit. ReconAection or new circuit iar the replacement of other pernsanently wired _~ sppliancea / fixtures. ~Tew citnuit for t~ Addition of A/C to ~ !nd'ividual dwelling unu (house or tte ~~ it~sdividwl syctaens in a duplex or condominium), including required service eleatrioal outlets. The value of sY+1v warlc is $.~~~ , o a i 1 hceoby verify this woxk will ~ be performed by ar- ennployae of this company and further verify the tCCOSiaatiou / instaliattion will be done in eornpliance with rsannfactt:rer aid Electric code roquirsraeots, j eepany Officer) (Print Nance of Offtce~) {Date) i I gat: