HomeMy WebLinkAbout0158876-HVAC (furnace & a/c) � CITY OF OSHKOSH No 158876
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1615 MARQUETTE AVE Owner JOSEPH/BARBARA M BUSHA JR Create Date 11/21/2013
Contractor RYF HEATING&A/C INC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil � Electric Solar Solid
--- — �---- ❑--
System New � ✓ Replace ' Other '
✓ Forced Air Radiant 1 Steam 1 ✓ A/C ' p Vent�
Electric _I Hot Water SuppL _ � Con. Burner !,
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 � Value _
Use/Nature SFR/replace furnace and A/C
of Work .
'**debit acct*'
i
'
i
i
�
��— — -------__.--- --- ----J
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: ���" Date 11/21/2013 '
� Permit Voided �i Parcel Id#1227380000
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
Agent/Owner
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.
/�,�,n�
City of Oshkosh �
Division of Inspection Services
P.O.Box l 130 �
Oshkosh, WI 54903-I 130 �
� Phone(920)236-5050 (� ��
Fax (920)23C-5084 ����..J��—� �
on, T�a<�,-,�Nr=r.
HVAC PERMIT APPLICATION
All information after bold categories must be provided. �
Incomplete applications will noY bc processed. �
� � Application(s)and fee(s)can be brought to City Hall, Room 205 ot• mailed to [nspection Services, PO Box I 128, :
Oshkosh WI 54903-1 128. Commencing work without permit(s) will result in Pees being doubled or $100.00 plus the �
normal pec•mit fee, which ever is greater.
OR
�vou ar•e a contrac7or »articrpatin�� in Ihc Perrni� tee ,lccnirnl .S'v,slem n��rcl l7cn�e adec�ua�e francfs, check here �
i o�r i��ant t1�is�roce,ssed lhrouQl� ���r�r•.nccouni � �
**Advisory- For applicable projects, an Electrical Installation Verification(�IV) form, signed by the Electrical
Contractar or Homeowner(for installations allowed to be perfornied by the homeowner) must be submitted
with the pernut application. Applications submitted without an EIV when such is required, will not be
processed for Pernut Issuance and will be rehirned for completion. :
DATT Z —�� l.�
JOB ADDRGSS /{DI,� !!/�i�/Y LC ��� �!!�
-� j� ���,EI���
OW N E R C/D G l.5 u-.S �c� ----
CONTRACTOR��7=' ,���-f�� � r � ��G� NOV 2 0 2013
CHECK � ALL APPL[CABLG nEN.arzT;+y��<r c��
C0�91iU1I'Ck'D£VEC.OP�fE'.YT
USE CATEGORY INSPECTiO4�ERVPCES D(�'ISION
�ingle Family ❑Duplex ❑Multi-f�amily ❑Rental ❑C:ommercial ❑Industrial
FUEL �$as ❑Electric ❑Solid SYS`I'G.M ❑New �place
❑Oil ❑Solar ❑Other_
TYPF,
�orced Air ❑Kadiant uSteam ❑niC ❑`v'cnt ❑Electric ❑!lo! Water ❑Sup»I. ❑Con. I3w�ner
IS CHIMNEY BEING LINED�Io ❑Yes - LINER S(LE & MANUi�/AC"I'URF.,R �'� ' �i� ✓'e��4�-� ��1,��,
Note: All chimneys shall be sized per the F3'I'U's being vented. ��.�—� �,�,�����,,,��-�
CHIMNGY TYPF ❑Chimney A ❑Chimney (3 ❑Direct Vei�t ❑Otlier �
HEAT LOSS ❑As Approved ❑Gxisting ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable �ther Value
DESCRIPTION/SCOP�OF ALL WORK BCING DONF,
�r_�1�.�w �,� u� ¢-- �/'�-
VALUE(Inciuding labor and materials) � 75 O o�� b � ___ _____________
GLECTRICAL CON"I'RACTOR(for projects not requiring an E(V For►n)_�t:,j�.�t/' �
o�;o�