HomeMy WebLinkAbout0153847 - HVAC (heating system) ED CITY OF OSHKOSH No 153847
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3389 COUNTY RDA Owner PINE INVESTMENTS OF OSHKOSH LLP Create Date 12/05/2012
Contractor RYF HEATING&A/C INC Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel L✓J Gas LI Oil —I Li Electric 1 ❑ Solar —1 ❑ Solid
System Q Replace 1 ❑ Other I
U Forced Air J J Radiant a Steam J NC J Vent J
❑Electric 1 J Hot Water 7, J Suppl. -1 I j Con. Burner
Chimney Type Q Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss As Approved O Existing • Not Applicable I Value
BTU Rate 0 As Per Plan • Variable ❑ Other I Value
Use/Nature COMM/REPLACE HEATING SYSTEM&DUCTWORK **check#18462
of Work
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $160.00
,
Issued By: " 0 Date 12/05/2012
❑ Permit Voided Parcel Id#1519607200
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 460 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
Division o In
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 ('`�
Fax (920)236-5084 ft-K 1.f
ON THE WATER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
DATE «" y-
JOB ADDRESS 33$ �I?�Q 4.
OWNER rJ f/'Nc.I5�G- I'�vee- •
CONTRACTOR i y Y I+ca �•. t nit
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family ❑Rental SICommercial ❑Industrial
FUEL 32fGas ❑Electric ❑Solid SYSTEM ❑New )3(,Replace
❑Oil ❑Solar DOther
TYPE
Forced Air ❑Radiant ❑Steam ❑A/C :Went ❑Electric ❑Hot Water OSuppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE/16".""4""AL MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ODirect Vent lElOther
HEAT LOSS DAs Approved ❑Existing Not Applicable
BTU RATE DAs Per Plan EtWariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE helo lL 5 y-ct'r--•1- ('" au-I-W'o./
VALUE (Including labor and materials)$ /0i o . to 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07