HomeMy WebLinkAbout0107374-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1755 SKYVlEW AVE
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 GORDON E RABE
Category 502- Residential-Both
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
107374
04/12/2004
Other
Vent J
Use/Nature SFR/Replace furnace and 2.5 ton a/c unit *EIV form submitted from Secker Elec
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$50.00
Date 04/12/2004
Parcel Id # 0612520000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
PA~E 02
Electric Installation Verificati
)n
(State) (Zip Code)
¢ of party contracted to)
(Electrical C~t~ctor
(A~rcss) (Chy)
ha~c bc~ contracted to p~[o~ electric inst~lafion wor~ Em ~
(~rcJ~wh~e work ~ill be p~
The nature o~the work ~ists of: (Check One or De~fi~ ~e Nat~
~ k~o~ect~n or new ei~uit for replacement Heating PI
R~o~tion ~ n~ ei~uit for r~la~ment Electric W
__ R~o~<tion of~e Semice Entrance Cable, Meter Box
~ and li~ting fixtures due to ~iding / *o~t imtallatio~
~ En~ce Cables will require a separate p~it.
~eeo~<tion or new circuit for the replacem~t ofotbe
~ applj~ce$ / fixtures.
~ew ci~uit for ~e addition of MC to an individual ~e
individual ~tem$ in a duplex or condominium), in~
ei~t~cal outlet~.
requirements.
(Print Name of Officer)
(Date)
The value oft
I hereby verit~
the reconnectibn / installation will be done in compliance with manuf
~is work is $
this work will be performed by an employee of this cc
r~pany and further verify
ieturer and Electric code
rformed)
re of Work)
mt and/or AdC Condenser.
~ter Heater or power vented
alterations to receptacles
Note: N~v Service
~ermanently wired
rng unit (house or the
ludin8 required service