HomeMy WebLinkAbout0133616-HVAC (furnace)/~"~ CITY OF OSHKOSH No 133616
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1716 MINNESOTA ST Owner JULIE/JOAN ERICKSON Create Date 10/21/2008
Contractor RYF HEATING & A/C INC Category 500 - Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ / Replace ~ ^ Other
/ Forced Air Radiant Steam __ _ j A/C Vent
Electric ^ Hot Water Suppl. __ j Con. Bumer
imney Type
Chimney A
Chimney B --__ -
Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicabie~ Value
BTU Rate As Per Plan Variable Other__ _ _ ~ Value
Use/Nature FR /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC **check #14564
of Work
Fees: Valuati~ $2,980.00 Plan Approval
Issued By:
^ Permit Voided
$0.00 Permit Fee Paid $55.00
Date 10/21/2008
Parcel Id # 1403720000
In the pertormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number 920-582-4451
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh ~ _ _ __~
Division of Inspectivn Services ~ C T ,2 1 2~~$ n
P.O. Box 1130
Oshkosh, WI 54903-1130 _
Phone (920) 236-5051) ~:` ` ~-
Fax (920) 236-5084 Ts~"-.= ~` ~ ~f HKO
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HVAC PERMIT APPLICATION
All inforniation after bold categories must be provided.
Inu~mpiete applications will not he processed.
• Appfication(s) and fee(s) can be brought to City Hall, Room. 20S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $1 UU.UU plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permiil'e_e-Account ,System and have adectuate funds. check here
if You want this processed tirrou~h your account (~
DATE ~~ ~ ~ ~~
JOB ADDRESS ~71~ ~f n n~ ~o T-~
OWNER l~w~ i '~ ~ h t ~ ~- s.o ~.,
CONTRACTOR ~__.. ~ rce~-r ~,~ }- !9 C, ~/~ 4
CHECK ®ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family
FUEL bias ^Electric ^Solid
^Oil ^Solar
^Rental ^Comrnercial
SYSTEM ^New
^Other
^Industrial
~eplace
TYPE
Forced Air ^Radiant ^Steam ^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 ^Chim ey B ^Direct Vent tether
HEAT LOSS ^As Approved ^Existi g e~Aiot Applicable
BTU RATE ^As Per Plan ^Varia le Other Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and materials)
ELECTRICAL CONTRACTOR c~C ~ /Z
Ll For applicable projects, an Electric Install;
attached. If not. attached or not applicable, a
O
Verification form, signed by the Electrical Contractor, must be
rate Electrical Permit is required.
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Electric Installation Verification
(filectrical Contractor Name)
r~ ~d~~~ Pu~M~~ ~~~iN~~co~n~ ~,~~ 5~~~
cwdd~) te,ty) (state} (zip cock)
luve'~ean costtracsod to perforru electric installation work for ,~~ .~ ~ ` `~ /U ~
(:~1ame of party contracted to)
at the Following address: ~~lC ~~i~~ ~ ~.~ ~~
~?-ddress where work will be performed}
'fha natm~a of tha work consisu of: (Check One or Describe the nature of 1~'ork j
,,,~,~ ltaaotmection or now circuit for roplacernent Heating Plar!t and~'or ~"C Condenser.
,~ Roeonnectior. or ~ circuit far ropla~cemea*. Electric W ate: Heaz-x or power vented
w~tar heater.
_____ Reconaatior. oFthe Serlnce entrance Cable. Metre Bax, eltezations to rereptucles
grad liglatinffi fixtur+ea due to siding / wPfit installation. Nate: New Service
Eatra~e Cables wi11 regt:ire a aepxrato petzrit.
_,~, Reco~nuectioa or aew circuit for the replacement of ether permanently wired
~ / fixtures.
~1ew ctrottit fc~ the addition of NC to ~ t~dividuc! dwetltng unu (house or tte
individual aystacns in a dupkx or condaminitutt), includir.Q rogtrired service
elrotrieal outlets.
Othez
The value of trio want k $ `6 Q • Q'om'
1 he;roby verity this work will be porforzned by an ermployee of this cotrpiny and further verify
tx recas:lOCtlolt /installation w-ilI be done in cozr~liance with taanu°acturer a.~d Electric code
requireraoats.
of Coaapmy Officer) (Print Name of Off~c~) (Date)
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