HomeMy WebLinkAbout2003-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 727 WRIGHT ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner RANDALL F HARRIS
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 ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
103524
08/14/2003
Other J
Vent J
Use/Nature SFR/Replace boiler. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$50.00
Date 08/14/2003
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.
~8/14/2003 08:57 19204261890
Division of lnspeclinn Sc4ices
P.O. Box I 130
Oshkosh, Wl 54903.1 30
Phone (920) 236-5050
Fax ¢920) 236-5084
STEINBRUNER HEATING:
i HVAC PERMIT APPLICATION
i Ali information after bold categories musl be provide
I Incomplete applications ~dll not be processed,
· Application(s) and f~e(s) carl be brought to City Hall, Room 205 or mailed to Lie
Oshkosh WI 54903J1128. Commencing work without permit(s) will result in fc
normal p~nnit ~c, v~hich ever is greater.
oR |
~¢. a contracto}- ~qrtlcipatin~e in die Per.mir fee .4ccoun! System
UL You want this proceJsed throueh your t~ccoun!
'.7
CABLE
D~
Cl~)uplcx ElMulti-Family nRcnlal {3Comm,
rt L
C~Oil
~Forced Air r'lRadiant
IS Clll~lVEY BEING
Nol~: All chimneys shall be
~MNEY T~E
~IT LOSS
~l ~TE
DESCRIPTION OF AL~L WORK BEING DONE
r'lEIccMc I-ISolid SYSTEM ClNew
DSolar FiOthcr
[Steam EIA/c ClVem [~Electric ~ot Water ClSuppl. ClCo
INED [~No CIYes - LINER SIZE & MANU~
r thc BTU's being vented.
;himney A ,f-I.,Chimney B ODirect Vent FIC
]As Approved ]~Existing ~Not Applicable
]As Per Plan rlVariable ClOtber Value
VALI~ (Including tabor ~nd all materials including light fixtures) ~
I~LECTRICAL CONTI~ACTOR .~ OR }~ Electric Installation Verll
PAGE 02
O/H40/H
~'ction Services, PO Box 1128,
s being doubled or $100.00 plus thc
aug adequate funds, check here
:rcial I-qndustfial
FIReplace
Burner
~.CTURER_
her
3/02
(Ad~
have been COl
Electric Installation Verificati~
(Electrical Contractor Name)
Ircss) (City)
tracked to perfom ele~fic installation work for ~
~ 7x7
at the mllowi~,g address:
i (Address where work will be pc
The nature oflhe work consists of: (Check One or Describe the Nam
1;[econnection or new circuit for replacement Heating
Reconnection or new circuit for replaeemem Electric
water heater.
l~econnection of the Service Entrance Cable, Meter Box
and lighting fixtures due to siding / soffit installatio~
Entrance Cables will require a separate permit.
l~econnection or new circuit for thc replacement ofothe~
appliances / fixtures.
ew circuit for the addition o£A/C to an individual dwe
individual systems in a duplex or condominium), inc
eledtrical outlets.
~ther
~n
(State) (Zip Code)
~ of party contracted to)
formed)
e of Work)
, and/or A/C Condenser.
lter Heater or power vent~l
alterations to receptacles
Note; New Service
~ermanently wired
ng unit (house or the
uding required service
(Date)
cE)
The value oft
I hereby verif] this work will be performed by an employee of this co
the reconnectibn / installation will be done in compliance with manufi
requirements. I
('g ~ure o 'Company Officer} (Print Name of Officer)
work is $.~ ~,
npany and further verify
cturer and Electric code