HomeMy WebLinkAbout0101137-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 216 W 14TH AVE
Contractor RYF HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MICHAEL J/CORI STROMBERG
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101137
04/30/2003
Other J
Vent J
Use/Nature SFR/Complete installation of central air & air handler with ductwork.
of Work
Fees: Valuation
Issued By:
$4,575.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$74.00
Date 04/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 240 MAIN ST PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number
582-4451
i:/' HVAC PERMIT APPLICATION
" Q/HKO/H
ON TIlE W^TER
All information after bold categories must be provided.' '
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 t 128,
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. ' '.
If you are a contractor participating in the Permit fee ,~ccount System and have 'adequate funds, check here
if you want this processed through your account
JOB ADDRESS
OWNER
CHlgCK [] ALL APPLICABLE
USE CATEGORY
Family BDuplex
· EIMulti-Family
F1Gas F1Electric [3Solid
[3Solar
TYPE "'
F1Forced Air/
F1Rental
,; .:,;..~!-. .
SYSTEM
[3Radiant DSteam [3Vent [3Electric
~,~x,~5; ,'~- ~ 3 '~:.:~ :'i'~2 i'~"
BEING LINED DNo FIYes ~'"- LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CBIMNEY TYPE: rlChimney A r'lChimney B
~AT LOSS Approved :- r'lExisting
:-BTU RATE ~ nAs Per Plan r'lVariable
~d.,L
DATE
FICommercial
;;: :.;~:;
[3New
[3Other
[3Hot Water I"liuppl.
Eiindustrial
[3Con. Burner
& MANUFACTURER
BDirect Vent BOther '"
[3Not Applicable
]-~R)ther Value
V3kt, UE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR c_ ~ ~' /
· " [] 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. -: '" · '