HomeMy WebLinkAbout0106855-HVAC (furnace)OSHKOSH
ON THE WATER
JobAddress 1419 JEFFERSON ST
Contractor STEINBRUNER HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner KIMBERLY A FOELL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
106855
03/11/2004
Other
Vent J
60,000 BTU
Use/Nature
of Work
/ REPLACE FURNACE, LINE CHIMNEY*EIV SECKAR ELECTRIC
Fees: Valuation
Issued By:
$2,500.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$42.50
Date 03/11/2004
Parcel Id # 1505190000
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 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
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.
0g/11/200~ 0~:~6 192B~2618~0 STEINBRUNER HEATING: P~GE
I (We)
(Ad
have been co~
at the followi
The nature ot
The value oft
1 hereby yeti f:
the reeonnecti
requirements.
(Signafi~re o
Electric Installation Verificati
(Electrical Contractor Name)
tress) (City)
dmcted ~o perfo~ el~tfie installation work for ~
(N~
(Address where work will ~ ~
the work consists of: (Check One or Describe the Narc
teconn¢ction or netv circuit for replacement Heating PI
<onnection or new circuit for replacement Electric W
water heater.
:connection of the Service Entrance Cable, Meter Bo~
and lighting fixtures due to siding / soffit inslallatiol
Entrance Cables will rcquirc a separate permit.
,eeon~leetion or new circuit for the replacement of other
appliances / fixtures,
low circuit for the addition of A/C to an individual dwe~
individual systems in a duplex or condominium), inc
electrical outlets.
~n
(state) (Zip Code)
e of party contracted to)
rform~)
e of Work)
nt md/or A/C Condenser.
let Heater or power vented
ahcrations to receptacles
Note: New Se~'jce
~ermanently wired
mg unit (hou$o or
uding required service
~th~r
ds work is
this work will be performed by an employee of this co
m / installation will be done in compliance with manu
npany and further verify
cturer and Electric code
Company
(Print Name of Officer
(Date)
cE)