HomeMy WebLinkAbout2003-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1224 WALNUT ST
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 JAMES B MONROE ETAL
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
101778
05/28/2003
Other J
Vent J
Use/Nature SFR/Installation of central A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,965.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 05/28/2003
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,:i::.,-
'-~ City of Oshkosh "' ........... '"':"=: .... '~ ~ ' ...... ': >; ~ ';'
?' DivisionoflmpecfionSe~ices '' "": :' ' 'i~"
P.O. Box 1130 ' · :~i:;~L~. .'-;...: ~.}': .~ ,, i ~' - ' ~-;,:
Phone (920) 236-5050 .:,.:'.~ ,. ',: .q,;':/, :':' {~." :~ . - '- ,<.
(920) 23&50~ ..?.F.~ ."~ ~', ~"' : ';' ' ' ~ ,.': ,. .
: ~ .. - ,, .'i ~ ;, .~ ~ ~o~on a~er bold categories ~t be prov~de~
, ~.~.'.?~' s Application(s) ~d fee(s) c~ be ~0ught to Ci~ Hail, Room 205 or ~iled to ~ecfion S~ces, PO Box ! 128,
/~..~';/..:?' :'::~, Os~sh WI 54903-1128. Co~encing work wi~out ~t(s) ~11 reset ~ fees berg doubled or $100.00 pl~,~e'"
~ (:?,'::: ~ ;.; noel p~nifit fee, w~ch ev~ is ~eater. } ' '". '. ..... q
'::. " ':' ':"' - '
~:'~ If gou are a contractor participating in the Permit_fee ~CCou,t ~ys~em and ~ave ~dequate_funds. checi her.
. .;:/~: if~ou want this processed through ~our account ~
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j.",~L:.,~ .",',. ' ~';"'" ", ',.:'.': :" , ' ~'" f ':' ' '
D~~PLI '" ,, .~
. ::, ?."~ USE 'CATEGORY ..... "':.:~ C'.. ).'.'~ . ,' : =-
· }~':~..{;. ~Single F~ly ' ~Dup : ::'~ !
. lex 'r. ~Multi'F~ily. ~Rent~ DCo~erci~ . r.:::~ ~d~
. ,., .... ......... =...,~ ~..: '.~. ?&~i'/r: {~: , ............. ~ . . .
~ F~L ~'Gas ":~. DElec~c DSolid ' SYSTEMr ' ~ew DReplace .... "~
DForced ~ ~di~t ~ ~Stem ~V~t ~Elecffie ~Hot Wat~ ~Suppl. ~Con. Bmer
~: ' ' I i':' ?"
~.~:.:-~:~.~ S C~Y BEING L~D DNo DYes "- L~R S~E & ~AC~R ~:~,i-:~ _
Not~: All c~i~e2s s~ be s~ed p~r te BD's b~g vented, " .:
HI
B~ ~ .C ",~. 7: :; g~ P~ PI~ :~.~ DV~able ~er Value '" ~',:~. "~
?. DESC~nON OF ~L WO~ BErG DONE 'F~.II, .~,~ o ~ ~$~ , .~, ;~ ':.::
' ~:. ',~ t ,
VALUE (including labor and all materials Including light flxture~) $ '//~
:.; ..:;?.:{-,.~.!.,:.,,'..,:',?,:.:, . .-.' ,: , , ~. . , ::,'~: ,. ';, ,-~ .
~ .~f'~'/ ?,:' ,~ ~.:,;
'; g For'applicable project, ~ Hlec~c ~allation V~fication fora, si~ed by te El~c~c~ Con,actor, ~t be '. ;' ~..'
a~ch,d. If not a~ch~d or not applicabl,, a s~paate Hl~c~l
' : ' '., - ' '~ "i ' ' ~ . ,. , . Z : ,,. ~,., I . . ' . '. ~;, : , . ,',~:..
;~.:,?' " ::-':..':;;~.', ; i,.~,. ,. ~ ~ C . ,,',,,;'." "~',{.L' . . ; , "'.'F),.:. ;: ',";,
· :~' '~ · , , '!':' ' ' .... ; '' ~¢ .... ~ , ~ [ .... '~ · , ~ . '~ .., ' -' -: ~'.~" ~/02':'~ :
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I
Electric Installation Verification
(Electrical Contractor Name')
(Acklre~) (City) (State) (Zip Code)
h,,vc 'seen contracted to perform electric insulllation work for ~--~?. ~'~
(Name of patay contracted to)~
(Address where work will be p~fformed)
The nature of tile work consists off (Check One or Describe the Nature of Work)
s r Re~onnec~0ngr newcircuit f0r r°placemem Heating Plant and'or A/C Cvndenser..
~ec~on or n~ c~t for repl~m~ Blanc Water Hea~ or power vented
wat~ h~.
~~ti~ of~c Sc~'ice ~ce Cabl~, Meter Box, Glterations ~o receptacles
~d li~ fix~ duc to siding / so~t inst~ladon. Note: New S~i~
' Bn~ce C~lcs will ~quire a s~atc pc~t,
..... ~o~on or new circ~t for ~e r~tac~t of o~cr p~nfly wir~
~ ap9~c~ / ~x~.
~ New c~t f~ ~e ad~fion of ~C m ~ i~iuidual dwelt~g unit (ho~ or the
in&vi~ syaems ~ a duplex or condomini~), ~eluding mqffir~ se~'ice
etec~c~
Other
I hereby ven~ this work will be performed by an crnployee of this con.pa[ny and further verify
t,hc reco~au-clion ! installation will be done in compliance wiuh manufacturer and Electric code
(Da~e)