HomeMy WebLinkAbout0110745-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 23 W CUSTER 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 RAYMOND J TICE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO 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
110745
09/24/2004
Other
Vent J
70000
Use/Nature SFR/Replace Furnace, line chimney EIV provided by Seckar Elect.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$35.00
Date 09/24/2004
Parcel Id # 1501190000
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.
89/23/2884 89:21 19284261898 STEINBRUNER HEATING: PaGe
Electric Installation Verificati
i (we)
(~ss) (City)
have ~ c~tmct~ to perfom electric installation work for ~
(Add[e~ wh~ work will
at thc follow
Thc nature o
The value of
~n
I hereby veri
the reconnec
requirement,~
(Electrical Contractor Name)
'thc work consists of: (Check One or Describe the Nat~
Reconnection or new circuit for replacement Heating P:
__ ~eeonnection or new circuit for replacement Electric
water heater.
eeonncction of the Service Entrance Cable, Meter Bo:
l and lighting fixtures duc to siding / soffit inatallatio
Entrance Cables will require a separat~ permit.
econnection or new circuit for thc replacement of othc
qappliances / fixtures.
ew circuit for the addition of AJC to an individual
-- i individual systems in a duplex or condominium), in
electrical outlets.
Other
this work is S.
'y this work will be performed by an employee of this c
ion / installation will be done in compliance with mane
(State) (Zip Code)
of perry contracted to)
~fformed)
ze o f Work)
ant and/or A/C Condenser.
ater Heater or power vented
alterations to receptacles
Note: New Scrvicc
permanently wired
,lling unit (house or the
:luding r~uir~d service
mpany and further verify
~cturer and Electric code
(~igna~urc ~fCompany Officer)
{Print Name of Of fleer
(Date)