HomeMy WebLinkAbout0094071-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 94071
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 344 SARATOGA AVE Owner RICHARD K MYERS Create Date 05/02/2002
Contractor RYF HEATING A/C INC Category 502 Residential -Both Plan
Fuel Gas 1 I Oil I Electric Solar I Solid
System New 1 Replace I Other
u Forced Air u Radiant J Steam u NC u Vent
Electric I Hot Water I Suppl. I I I Con. Burner
Chimney Type Chimney A O Chimney B 0 Direct Vent Not Applicable
Heat Loss As Approved Existing 0 Not Applicable Value 0
BTU Rate As Per Plan 0 Variable Other Value 40M EACH
Use /Nature DUPLEX/ Replace furnace a /c.
of Work
Fees: Valuation $9,870.00 Plan Approval $0.00 Permit Fee Paid $153.50
Issued By: 1`yo Date 05/03/2002
III Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature 1 Date
Agent/Owner
Address 240 MAIN ST PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number 582 -4451
I t99
oivi.ion of I.pectios service. 3 15 chllv A
ei
.O. Ao* 1110 ?st.... (1S?
4 7 ■i►��71i x 0 236 -SO,4 G�
Phone (130) 224-S00 V 1
HVAC PERMIT APPLICATION a Ep i otv-`- G
All fields /information after bold categories must be provided eefl�
Incomplete applications will not be processed. %;)\,w"
DATE 1 1--3 a 0 2
JO» ADDRISB 3 9 4 Sur a. h a,
OWNER Yf;zajs, M _e0
CONTRACTOR Ryrl m. v.,f r f- _ZW C.
CIRCLE ALL APPLICABLE
USX CATEGORY SINGLE FAMILY rA MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL OAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW f 1 1 OTHER
TYPE 4114.0•CED AI RADIANT STEAM •S:40 VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
Is clIMtmmy mama LINED flier i s LINER SIZE ft" MANUFACTURER fl -tin r
Note: All chimneys shall be sized per the BTU'. being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY 8 DIRECT VENT OTHER
HEAT LOBS AS APPROVED 421ISTINO NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALU 4
NATURE 01 WORE: N *01" 6,,,„•4 p- /tkC
VALUE (Including labor and materials) S
ELECTRICAL CONTRACTOR ce,c„ //e. r,.: c..
electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to ___,_,.,,,,,,,..,..___$20.00
$1,000.01 to $10, 000.00».,. ..,..,„$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01. to $25, 000.00» w r ,$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25, 000 00..._.....,......«.,,,._,......_,,. »«,,,,,,_,_,_,_.o.w.w..ay,,,._.. 305.00 plus $0•50
per $100.00 valuation or part thereof.
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.