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HomeMy WebLinkAbout0131531-HVAC (furnace)CITY OF OSHKOSH No 131531 OSHKOSH ON THE WATER Job Address 932 W SOUTH PARK AVE HVAC PERMIT -APPLICATION AND RECORD Contractor RYF HEATING & A/C INC Fuel / Gas System ^ New Chimney Type Heat Loss BTU Rate Use/Nature of Work / Forced Air Electric Radiant Hot Wate Chimney A Chimney B As Approved Existing As Per Plan Variable Owner MARDELL M MEYER LIFE ESTATE Create Date 07/14/2008 Category 500 -Residential-Heating & Ventilating Plan Electric Solar Solid - -_I ^/ Replace ~ ^ Other '~ Steam A/C Vent Suppl. Con. Burner Direct Vent Not Applicable Value Value Fees: Valuation Issued By: 5z,buau0 Tian Approval 50.00 Permit Fee Paid $49.00 ^ Permit Voided Date 07/14/2008 Parcelld # 1306650000 In the pertormance 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 beforei starting such activity. Signature ~ Date Agent/Owner Address PO BOX 450 '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. EIV SIGNED BY City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax (920)236-5084 ti. 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 '~ If you are a contractor DarticinatinQ in the Permit fee Account Svrtem and have adequate fund.c_ cher.k 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) mast 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 ~ ''` ~ " ~ 8 JOB ADDRESS `~32 u.~ S CHECK ®ALL APPLICABLE USE CATEGORY ~ISingle Family ^Duplex FUEL ~Cras ^Electric ^Oil ^Solar TYPE Forced Air ^Radiant ^Steam ^ IS CHIMNEY BEING LINED ^No ~A' Note: All chimneys shall be sized per the B'TU' CHIMNEY TYPE ^Chimney A HEAT LOSS ^As Approved BTU RATE ^As Per Plan DESCRIPTION /SCOPE OF ALL -Family ^Rental SYSTEM ^Commercial ^New ^Other ^Industrial ~QZeplace /C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner > -LINER SIZE ~ & MANUFACTUI~R'~ fG~C ' being vented. Chimney B ^Direct Vent 1QOther ^Existing blot Applicable ~yariable `^Other Value K BEING DONE ~i~,~~a...er F.~erJQ.t.G VALUE (Including labor and materials) ©~~~~ o C4~ y~ ELECTRICAL CONTRACTOR (for projecs not requiring an EIV Form) SGG~L,i' ~, o~/o~ ~~rp ~t $~vtpil 11i C'1Wr- AvMlr s0~~t~ ~~~W7 SAY03.1130 0:1~ q6=~~10:0 ', Electric Inst~.llation Verification (Electrical Contracwr Name) ~ C,U/v~ ~ ~ (~ ! N /~ BCD nl r ~ cwcidreat) ~ cciri) (state) czip coax) have ~~~ cos~trected to pae~form electric ittstallatioa work for ,~..~ ~~1 /U Ca e~ I (rune of party contracted ta} at the $o2lawiag address: ,1 ~~ CQ' ~o~,-~~ ~~ ~, l:~ddreas wbere work will be perforrnad) The ttatnre of the work consists of: {Check One or Describe the Aanue of ~~'ark j ~_ Reaotffiection or now circuit for replacemant Heating Plant acdf'or ~'C Condenser. Roconaeotior: or raw circuit for roplacement Electric wa*.er Heaz-x or power vented w}ter boater. '', Reconneetior. a`the Ser~~ice Etstrusce Cable, Maur Box, alterations to receptacles sad liglxtsng fixtures due to siding / •of'Et installation. Nate: New Service Eat~ce Cables will require s aeparato pertrzt. ,,,,,_„„ Recoriaeeti~ or new circuit zor the replacameat of other permanently wired ~~ / fixtures. vow citouit far the Addition of A/C to att t~utCividual dwsllirsg unit (house or tte it~dividuel systems in A duplex or condominium), inclndin~t required service e}~oyrioal outlets. Other ~~ The value of tY~is week iA $ l6©. °~ l hxroby verity this work will lie potformed by an anployae of this camping and further verify tax recassoction / irutallatzon will be done in compliance with rsanafacture~ a.~d 1r4ectric code rpQYil'etZfefitf. I c i ~ ~ G..~ ~L (SiynAtur oFCompany Oflicrr) (Pnirt Name of Uftice~) (Date) Etta