HomeMy WebLinkAbout0101138-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1284 ELMWOOD AVE
Contractor RYF HEATING & A/C INC
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner JANET E EILER
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101138
04/30/2003
Other J
Vent J
Use/Nature SFR/Installation of air conditioner.
of Work
Fees: Valuation
Issued By:
$1,785.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$32.00
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~.-:~
236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(1) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,"
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
pemfit fee, which ever is greater. -,-- , ,: . ,:, ': ;;'."",,~ ....."'
I£ vou are a contractor participating in the Permit fee Account System and have 'adequate funds, check here
you want this processed through your account N
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABI,E
F1Rental
FlSolar .....
DATE
F1Commercial
r'iNew
r'iOther
ElIndustrial
TYPE:
FIRadiant [3Stem [-IVent FIElectric FIHot Water FISuppl. FICon. Burner
IS CHIMNEY BEING LINED F1No [3Yes - LINER SIZE & MANUFAC~R
Note: All chimneys shall be sized per the BTU's being vented.
CmMNEY TYPE :5}; t A F1Chimney B [3Direct Vent [3Other ._):5}.
HEAT LOSS [3As Approved' ' F1Existing F1Not Applicable
BTU RATE FIAs Per Plan F1Variable [~lOther Value
OF ALL WORK BEING DONE
labor and all materials including light fixtures) $
CONTRACTOR
[] FOr applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
If not attached or not applicable, a separate Electrical Permit is required.