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HomeMy WebLinkAbout0104399-HVAC (furnace & a/c)OSHKOSH ON THE WATER .lob Address 923 EASTMAN ST Contractor RYF HEATING & A/C INC Fuel System Gas J ~J Oil CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Owner CHERYL L PEPPLER Category 502- Residential-Both L~ Electric New ] ~] Replace ] Forced Air ] ~ Radiant Electric I ~J Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss ]~ As Approved O Existing ~ Not Applicable ] Value BTU Rate ]~ As Per Plan ~ Variable ~) Other ] Value No Create Date Plan ~ Solid 104399 09/25/2003 Other ] Vent Use/Nature SFR/Replace furnace, new A/C and humidifier. of Work Fees: Valuation Issued By: $4,600.01 Plan Approval $0.00 Permit Fee Paid Permit Voided $75.50 Date 09/25/2003 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 240 MAIN ST PO BOX 450 WINNECONNE WI 54986 -450 Telephone Number 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. City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT All information after bold Incomplete applications will not be p[ocessed. ©_/HKOJH · 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 If you are a contractor participating in the Permit fee Accou~;t 5Fstem and have ~tdequate funds, check here if you want this processed through your account N JOB ADDRESS CONTRACTOR CHECK [] ALL APPLICABLE USE CATEGORY .~Single Family r"lDuplex I'-lMulti-Family [-IRental UlCommerciai Ellndustrial FUEL ~Gas U1Electric nISolid SYSTEM EINew [~Replace I-IOil UISolar UIOther TYPE J~orced Air ViRadiant ViSteam I-IA/C I-IVent [3Electric ViHot Water ViSuppl. I-ICon. Burner IS CHIMNEY BEING LINED VINo I-lYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER CHIMNEY TYPE HEAT LOSS BTU RATE I-IChinmey A I-lAs Approved I-lAs Per Plan ViChimney B I~lExisting tlgVariable g~)irect Vent VINot Applicable VIOther Value I-lOther DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ ~//~ o o .~,o ELECTRICAL CONTRACTOR D For applicable projects, an Electric Installation Verification form. signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. 9/02