HomeMy WebLinkAbout0157855-HVAC (furnace) � CITY OF OSHKOSH No 157855
OSHKOSFi HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 408 MONROE ST Owner JERRY/CMERYL JACKLIN Create Date 09/19/2013
Contractor RYF HEATING 8�A/C INC ___ Category 500-Residential-Heating&Ventilati� Plan
inspector John Zarate
Fuel ✓ Gas Oil Electric i Solar Solid
System New � Q✓ Replace � � Other �
✓ Forced Air � Radiant Steam A/C Vent
�Electric ___ Hot Water Supp� Con. Burner :
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
�----- --
HeatLoss AsApproved � Existing _ � NotApplicable � Value
BTU Rate As Per Plan � Variable � Other � Value _ _ _
Use/Nature DUPLEX/REPLACE HIGH EFF FURNACE, ELECTRICIAN IS SECKAR ELECTRIC "check#19310, 19320 i :
of Work 'i i
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Fees: Valuation $4,5 0.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: �� Date 09/20/2013
❑ Permit Voided I Parcel Id#0404240000
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 pe�formed within two business days from the time the project is ready.
��..� �
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 ��HK�J.�H
ON zwE 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$100.00 plus the
normal permit fee,which ever is greater.
OR
IJ vou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds, check here
�vou want this �rocessed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verificadon(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted
with the permit applicadon. Applications snbmitted without an EIV when snch is reqnired,will not be
processed for Permit Issnance and will be retnrned for completion.
DATE !` `�� �� �
JOB ADDRESS �{d8' d1'l���r� � s"� RECEIVED
OWNER �C�'i� i3ic�-,f c- ;
CONTRACTOR �� ,�- ,t�C. SEP 18 2013 '
DEPARTIIE\T OF
CHECK 0 ALL APPLICABLE C0�1�tU1iTY llEVELOPMENT
INSPECTIO�SERVICES Dll'TSIQ'V
�E CATEGORY
Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial '
FUEL �'ias ❑Electric ❑Solid SYSTEM ❑New �eplace
❑Oil ❑Solar ❑Other
TYPE
�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved �Existing �Aiot Applicable
BTU RATE ❑As Per Plan ,�Variable �Other Value �
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
r��l�,� � ��� ��� �a..���_�
VALUE(Including labor and materials)$ �Z S��` U �
ELECTRICAL CONTRACTOR(for projects not requiring aa EIV Form) ���-f��cr v�
o�/o�