HomeMy WebLinkAbout0156225-HVAC (furnace & a/c) i
/� CITY OF OSHKOSH No 156225
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 551 W SOUTH PARK AVE _ Owner DEMLER REV TRUST Create Date 06/14/2013
Contractor RYF HEATING&A/C INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar
� Solid
System �✓ New __I 0✓ Replace 'I � Other i,
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 i Value
Use/Nature SFR/Replace furnace and add C/A. �
of WorkI
I""'"check#19071'**' ,
***"ckeck#19080'**'
I
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Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: '�'/,�„� Date 06/17/2013
❑ Permit Voided I Parcel Id#1300690000
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
AgenUOwner
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.
��� ✓ �~ '
Ciry of Oshkosh
Division of Inspection Services
P.O.Box 1130 �
Oshkosh,WI 54903-1130 �
Phone(920)236-5050
Fax (920)236-5084 ���
O HE vVA'� TFR
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 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a corrtractor DarticiDating in the Permit fee Account Svstem and have adeouate funds check here
e!vou want thrs brocessed throuQh vour account �I
**Advisory-For applicable projezts, an Eiectrical Instailation Verification(EI�tbrm, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the penmit application. Applications submitted withont an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
DATE � —/�----J.�
JOB ADDRESS,,�,`�'/ LL�}ps�"" Sc�,�,'� �tc�„!Z �'(//� REC�IVED
OWNER � .^ �
CONTRACTOR `�..� C 'f"�( L,� �UN 13 2013
CHECK E(ALL APPLICABLE DEPART�1E1T OF
C0�4�1U�ITY DE�'ELOP1fE:VT
USE CATEGORY INSPECTIO�SER�'ICES DR'IS10V
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial OIndustrial
FUEL �as ❑Electric ❑Solid SYSTEM ONew �[Replace
❑Oil ❑Solar ❑Other
TYPE :
�orced Air ❑Radiant �Steam �A/C �Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED �No�Yes -LINER SIZE 3 & MANUFACTURER_�e�,c: v�T'
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing (l9�lot Applicable
BTU RATE ❑As Per Plan �BJ.,Variable .�Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE r' �����.,� ,,,� ,� �, �/
�.�u�`✓� _ �!
VALUE(Including labor and materials)$ �S�Q� �.. G�
—v
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)�r C°/� ✓
o�/o�