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HomeMy WebLinkAbout0133615-HVAC (furnace)CITY OF OSHKOSH No 133615 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 450 N CAMPBELL RD #C2 Owner GEORGE A TRUELL 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 ( Q/ Replace J ~ Other ~/ _ Forced Air Radiant Steam A/C ~ Vent Electric Hot Water Suppl. Con. Bumer Chimney Type ~ Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable ] Value BTU Rate ~ As Per Plan Variable Other J Value Use/Nature of Work Fees: Issued By: Permit Voided Date 10/21!2008 Parcel Id # 1608710306 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 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. ONDO UNIT /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC "check #14564 147.00 Plan Approval $0.00 Permit Fee Paid $58.00 ~~ p o ~, City of Oshkosh Division of inspection services ~ ~ T 2 1 200 $ P.O. Box 1130 Oshkosh, WI 54903-1 1 30 Phone (920) 236-5050 ~;~ : Fax (920) 236-5084 rlv~: ~_ ~ ~HKC~1H O~`•I 'NF 4,~ATER HVAC PERMIT APPLICATION All infornYation 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 I('you are a c•ontrac•tor partic•i~atrng in the Permit fee Account Svste.m anti have adepu_a_te_jttnds, check here ij~ou want this nrocesse~l thrvu,~h vour accv:rrt (-1 DATE ~O a ©~O ,~ JOB ADDRESS ~`~ ~ ~ Caz~'D l~ ~ `~ ~~, ~ ~ u ~ C 2 CHECK ®ALL APPLICABLE USE CATEGORY 'Q15ingle Family ^Duplex ^Mulii-Family ^Rental ^Commercial ClIndustrial FUEL bias ^Electric ^Solid ^Oil ^Solar SYSTEM ^New ^Other ~eplace TYPE ~orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & IvIANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ^Duect Vent ^Other HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan Variable ^Other Value DESCRIPTION OF ALL WORK BEING DONE__~c~ ~~ti. ~ ~h~c ~ VALUE (Including labor and materials) $ _ ~/ 7 /~ G~ C~ ELECTRICAL CONTRACTOR _ ~G `~~ ~/ L.l 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. 10/0 Clhr e~pNoo-fi Diviwn edl~pnia'sa,Res. zti c-~ ,mow :,osar use w~ s~wao•tiw as:~a~o~o hx ns.sK.tor. Electric Installation Verification """~ ~'~ (ElectncHl Cantractar Name) ~7~~ ~.~ ~ PwM~~ ~D (~ IN~~COnI ~ r ~~~2~~ cAeldreea> {city> (state) tzrp eves) 1uvQ'oeeri cflntractod to perkrm electric iristallatioa work for ~'~ ~ ~l~7~ N ~ (:Jame of party contracted to) at the $ollowiag addrasa: ~S -D ~ ~ ~ , ~ 1~.~ C~ ~, tAddreas whcrc~ork will be performed) Thy natnra of the work consiafs of: {Check One or Describe the ::anise of \~'ork j ~,,,~ Reootmeetion or now circuit far replacernant Heating Plant and~'ar ~'C Condenser. R,oconnectiot: or tu~w circuit for replacement Electric W ate: Heazar or power vented w~tK boater. Recanaectior. of the Serti~iee Envance Cable, Meter Sox, alterations w receptacles and lighting fixtures disc to aiding / soP6t inatallauon. h'ots~ Nrw Service Eatnmca Cables will rxgt:ire a aeparato permit. ___„_ RecoructeCtiost or new circuit for the replacement of other permanently wired sq~iianaea / fizttuea. VCw ea~ouit far the addition of A/C to rtn i~afividua! dwstttxg writ (house or rte itmdividual r3yrxans in a duplex or condominium), inclndirg rcgttired service eleotrioal outlets. Other The value of thifi wont is $ o .o ~ i hereby verity this work will bt porformed by an anplayee of this campmy and further verify the rtxosaoctiott / itutallutzon w-ilI be done in corsrpllance with rtanrcFacturer aid Electric code rr~+quiree:sor-ts. (Si~atur of Ceanpaz~y Officer) (Print Name of nf~tct4) {Date) ago: