HomeMy WebLinkAbout0103462-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1203 OAK ST
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner JEANETTE A RIECKMAN
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103462
08/12/2003
Other
Vent J
60m
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,100.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$36.50
Date 08/12/2003
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 600 OREGON STREET 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.
08/11/2003 83:57 19204261890 STEINBRUNER HEATING: PAGE 01
of Oshkosh
1)ivisio0 of Inspection Se~ices
Box 1130
~h. Wl 54903-1130
~ (920) 23~0~0
(920) 236-5084
nlmn ss l t
COmPacToR
HVAC PERMIT APPLICATION
All inforn~tion after bold catcgories m~st be provid~
Incomplete applications will not be processed,
/
Application(s) and fe~(s) can be brought lo City ~-lall, Room 205 or mailed to Ins
Oshkosh WI $49034 128. Commencing work without permit(s) will result in fe
normal permil fee, w~ich ever is greater.
f~.~ou are a contracto partic~a~ng tn the Permit fee ,4ccount Svxtem and
ff )/Ou want th~$ oroc~: red through Four account r~
ii] ALL APPL
ATEGORY
Family []
I-loft
~orced Air VIRadiant I
J '0
cction Services, PO Box 1128,
being doubled or $I00.00 plus the
ave adequate[unds, checl her._.~
CABLE
}uplcx EIMulti-Family
Il]Electric FISolid
r=lsoll, r
[3Rental ElComn~ :rcial
SYSTEM FINew
l"lOther
ISteam E]A/C nVent ClElectnc K]Hot Water ~Suppl.l~Co
ISC'lllMNEYBEINGi INEDI"'INo~es -L~ERSIZE ~'~ &MA~
N~e: All chL~eys shall be ~izcd per thc BTU's being vented.
t:m~Y TY~ IChl~ey A ~ey B ~t V~t DC
~AT LOSS las Approved ~xisling DNot Applicable
~ ~TE las Per Plan ~Variable ~ber Vatue ~ ~
[:]Industrial
~R/~lace
I
VALUE (including labor lnd all materials including light fixtures) $ ~ ( 0 0 ti,
'IKI,ECTRICAL CONTI~ACTOR__~ OR lg~,£1eori¢ I.,,.lllflon Veril
Burner
~,CTUILER_
at the following addres
The nature of the work c
~'~ Reconneeti
' I Reconnect
water i
Recotlllec~
and 1
Enttanc
,, Re¢onnecti~
appliam
New circuit
individt
¢ledtric~
Other
The value of this work is:
1 hereby verify this work~
the reconnection / installa
requirements,
(Signa~re of Company,
Electric Installation Verification
(Elect~cal Contr~tor N~e)
(City) (State)
,cffo~ elec~c installation work for ~ ~ OA
~e 0fp~y
(Address where work will be performed)
ansists of: (Check One or Describe the Nature of Worh
or new circuit for replacement Heating Plant and,or,
or new circuit for replac~nent Electric Water Hoat~
n of the Service Entrance Cable, Meter Box, alt~'atiot~
ing fixtures duc to siding / soffit installation. Note: N~
Cables will require a separate permit.
n or new circuit for the rcplaccmcnt of other pcrmanen
,~s / fixtures.
~'or the addition of A/C to an individual dwelling unit
d systems in a duplex or condominium), including requ
outlets.
(Zip Code)
:ontracted to)
[/C Condenser.
or power ventexl
to receptacles
~ Service
jy wired
)Use or the
red service
viii be performed by an employee of this company and ~unher verify
ion will be done in compliance with manufacturer and ll,ctric code
)flicer)
(Print Name of Officer)
(Date)
39Vd :E~IIiV3H ~3NnS~NI3&S 06BIB~Og6I Z5:£0