HomeMy WebLinkAbout0108369-HVAC (furnace; chimney liner)OSHKOSH
ON THE WATER
1932 NORTHPOINT ST
STEINBRUNER HEATING & COOLING
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas I I~ Oil
New I
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DONNA J WORTH
Category 500- Residential-Heating & Ventilating
~J Electric I ~J Solar
Replace I
~J Steam I ~J A/C
Suppl. ] ~J 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
~J Solid
108369
05/27/2004
Other
Vent
Use/Nature
of Work
Replacing the furnace and lining the chimney.
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided
$35.00
Date 05/27/2004
Parcel Id # 1521900000
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.
85/27/2084 11:89
(15 (We) ~
19204261890 STEINBRUNER HEATING:
Electric Installation Verification
(Electrical Contractor Name)
(Address)
have been contracted
PAGE 02
The value of this
I hereby vcrify th
reconnecQon / in:
requirements.
iSignature o~ Co~
,york is $ $ ~---~
s wot? will be pcr£ormed by an o'nploycc c£this comp
tallatmn will be done in compii~c¢ with manu f-~cu~re~
'lpauy Officer)
(Print Name of Officer
~ny and £urther verify thc
and Electric codc
(Date)
(City) (Statl) (Zip Code)
to perform electric installation work for
(Name ofpa~ty conU'acted to)
at thc following addr, ~ss: ~. Iq 5~- ~Or'[~ O~,n~t' ....
(Address wl~erc work will be perfo -reed)
Th~ nz~:rc of thc wo: consists of: (Check 0,,¢ or Describe the Nature of ~v'ork)
_~R~ onnection or new circuit for replacement Heating PJal ~ and/or A/C Condenser,
R~ connect!on or new circ.uit for replacement Electric Wa :r Heater.
R~ connecuon of the Service Entrance Cable, Met.er Box, ,Iterations to receptacles and
. lighting fixtures due to siding / soffit ins~allauon. Nc -' New Service Entrance
/ Cables will require a separate pcm~it,
_~ R~connection or new circuit for oth~ permanently wired q q ~liances / fixtures.
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