HomeMy WebLinkAbout0157854-HVAC (a/c) � CITY OF OSHKOSH No 157854
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 260 N CAMPBELL RD#A Owner KAROL H NOONE REV TRUST OF 1998 Create Date 09/19/2013
Contractor RYF HEATING&A/C INC Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel r Gas Oil Electric Solar Solid
System �New � � Replace � ❑ Other I
Forced Air � Radiant Steam A/C Vent '
Electric—� Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable�
Heat Loss � As Approved � Existing
� NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature ONDO/REMOVE WALL A/C AND INSTALL DUCTLESS A/C,ELECTRICIAN IS SECKAR ELECTRIC *'check#19310, 19320
of Work !
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Fees: Valuatlon $2,00 .00 Plan Approval $0.00 PermitFee Paid $46.00
Issued By: ��� Date 09/20/2013
❑ Permit Voided � Parcel Id#0608040227
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.
��, , a°`'
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 ��'� ru
�f �
ON FHF 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 wark without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor narticiDating in the Permit j'ee Account Svstem and have adeauate funds check here
If vou want this processed through vour account n �
**Advisory-For applicable projects, an Electrical Installation Verificadon(EI�form, signed by the Electricai
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted withont an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be retarned for completion. .
DATE f'�-�� - � �
JOB ADDRESS a�� /V CC[�� /'��� u��'r � �E��IVE
OWNER_��„�I /Y t�o�.,� D
CONTRACTOR���� ��� �:�,. � �/,�C S�(�(1 SEP 18 2013
CHECK Lf ALL APPLICABLE Dep,�RTniE�r oF
C0�1�tU��TY'L'E�'ELOPJ1EYT
USE CATEGORY �VSPECT�n�'SLR�7CES Dl�'ISIOV
❑Single Family �,Duplex �Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas �lElectric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. OCon.Burner
IS CHIMNEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
D CRIPTION/SCOPE OF ALL WORK BEING DONE
lf � � S T'� . �-��S S � G
VALUE(Including labor and materials)$ 9(�d�v. O �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ��� /`t�e ..—
o�/o�