HomeMy WebLinkAbout0110107-HVAC (furnace/chimney liner)OSHKOSH
ON THE WATER
.lob Address 1625 GRABER ST
Contractor STEINBRUNER HEATING & COOLING
Fuel [~J Gas ~
System ~ New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner BERNARD C OLEJNICZAK/M OLSON
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
110107
08/20/2004
Other
Vent J
Use/Nature SFR/Replace furnace and install chimney liner - EIV provided by Secker Elect.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$35.00
Date 08/20/2004
Parcel Id # 1524570000
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.
88/16/2884 11:48
STEINBRUNER HEATINg:
PAGE 02
Electric Installation Veriflenti,
l (We) '-
(Electrical Contractor Name)
have been c( 'ntractcd to perfo~ elcct~c installation work for
(~ddr~ whe~ work will
The nature o ~the work tonsils of: (~eck
~ ' ~eco~ection or n~w ci~uh for r~lac~m~ ~ling ]
Reco~ection or new circuit for r~lacement El~c
wat~ heater,
Reco~tion of thc Se~icc Entr~ce Cable, Meter B
~d lightiu~ fixtu~ due to siding / so~t installa~ic
Entr~Ce Cables will r~uirc a s~aram
I Reco~cction or new c~rcuit for the r~laccment of otb
~ ~ appli~ces / fixture,
: New ci~uit for thc addition of ~C to an in~ivig~l d~
~odividual syst~s in a duplex or condominium), h
The value o
elcctrical outlets.
Other
~this work is $
7
/
! hereby veOify this work will be performed by an employee &this
the reconne~:tion / installation will be done in compliance with man
requirementS.
(Signa~(~rc of Company Offlccr)
CPrint Name of Officer
;n
(State) (Zip Code)
,e of party contracted to)
;re, of Work)
[ant and/or A/C Condms~r.
tier Heater or power v~med
alterations to receptacles
· Note: New Service
:r pormanemly wired
elling unit (house or the
~cluding required service
:ompany and further verify
ifacturer and Electric code
(Date)